A case of Ortner syndrome caused by primary pulmonary hypertension
Takahiro Yasui1) Norio Kasamatsu1) Takeshi Seto1) Nariyuki Shinozuka1) Akira Nakamura2) Ikko Hashizume1)
1)Department of Respiratory Medicine, Hamamatsu Medical Center 2)Department of Autonomic Physiology, Graduate School of Medicine, Chiba UniversityF
Left vocal cord palsy is a rare complication of pulmonary hypertension (also known as Ortner syndrome). Here we report a case of a patient with Ortner syndrome caused by primary pulmonary hypertension (PPH). The patient was a 28-year-old woman, who complained of persistent hoarseness and dyspnea on effort. A left vocal cord palsy, as well as PPH, was diagnosed, suggesting that pulmonary artery dilatation associated with PPH led to left recurrent laryngeal nerve palsy. This case suggests that PPH should be suspected in any case with unexplained left vocal cord palsy.
Ortner syndrome Mitral stenosis Primary pulmonary hypertension Left recurrent laryngeal nerve palsy Hoarseness
Received 平成18年1月13日
JJRS, 44(11): 823-827, 2006