A Case of dysphagia was evaluated properly and was diagnosed as a case of Ortners syndrome. This slides discuss the litereture review of ortners syndrome also
15. Coughing Out of Blood
• 5-6 times / 15 Days
• Half TSF each time…
16. Coughing Out of Blood
• 5-6 times / 15 Days
• Half TSF each time…
• Not mixed with Phlegm or food particle
17. Coughing Out of Blood
• 5-6 times / 15 Days
• Half TSF each time…
• Not mixed with Phlegm or food particle
• No bleeding from any other orifices of the
body
18. No………
• Fever, Wt loss, Night Sweats
• Childhood Rhematic fever
• Contact with TB + patients
• Purulent Sputum
• Joint pain, Rash, Skin tightening
• Thyroid problems
• Ankle / Neck swelling
• Childhood Allergy
• Malabsorption
• No such disease running in the family
• Nonalcoholic
• Non Smoker
19. On Query
• Admitted in NICVD on 2011
• Had ECG, Echocardiography
• Underwent a surgical procedure
• Can’t mention the name
• Was well since then, upto December,2021
Consulted different physicians and multiple tests
No improvement, So, attended to BSMMU
20. Drug History
• Warfarin ------------- at 5 pm, except friday
• Salbutamol
• Thyroxine NONE
• Theophylene
21. On Examination
• Dyspnic, R-R- 21/mins
• Pulse 92b/m
• BP 100/60 mmhg
• Temperature- Normal
• Edema +
• JVP, LN, Thyroid Absent
27. MS LOUD HS1
MDM Opening Snap
Pre Systolic
Accentuation
Loud P2 if
Pulmonary
hypertension
ASD
LOUD HS1 MDM Fixed wide
splittting of HS2
Loud P2 if
pulmonary
hypertension
LA
Myxoma
LOUD HS1
(Tumor causes
delay in closure
of MV, due to
prolapse of
tumor in MV
orifice.)
MDM
(Due to
obstruction of
LV)
Diastolic atrial
rumble due to
MV obstruction
Change with
position,
Tumor plop at
early diastole
Loud P2 if
pulmonary
hypertension
57. Intervention
PTMC
Favourable Clinical No Contraindications
Charecteristics
No Comissurotomy before
NYHA II-III
AF Not permanent
Pulmonary Hypertension Mild-Mod
Echo Score <8
Cormier Score < 3 (Fluroscopic)
No concominent AS_AR_TS_TR_CAD
High risk/Contraindication to Surgery
67. 5 Take Home Massage
• Compressive Symptoms of Ortner’s
Syndrome does not always correlates with
LA size.
• Planimetry is the method of choice to
determine severity of MS.
• Post CMC Mitral Valve thrombosis needs
MVR
• VHD assessment and management need
formation of Heart Team
• Post MVR timely followup is needed as per