Pneumology

Images in clinical medicine: Ortner's Syndrome

A 62-year-old woman presented with a 2-year history of progressive vocal hoarseness. She had undergone mitral-valve replacement for rheumatic mitral stenosis 21 years earlier, but her severe pulmonary hypertension had not resolved, and progressive clinical manifestations of right-sided heart failure, including peripheral edema, ascites, and exertional dyspnea, had developed. Chest radiography revealed...
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 http://www.nejm.org/doi/full/10.1056/NEJMicm1014167#figure=f...

New England Journal of Medicine