The case study reported in a recent article for the American Journal of Case Reports, describes a 32-year-old male patient with idiopathic pulmonary arterial hypertension (IPAH) who presented with hoarseness. The hoarseness was attributed to Ortner syndrome, where an enlarged pulmonary artery compressed the left recurrent laryngeal nerve, causing left vocal fold paralysis. Diagnostic workup included echocardiography showing pulmonary artery dilation and right heart catheterization confirming pre-capillary pulmonary hypertension. After excluding other causes, idiopathic pulmonary arterial hypertension was diagnosed.
This case highlights the importance of considering cardiovascular causes in the differential diagnosis of hoarseness, particularly rare conditions like idiopathic pulmonary arterial hypertension.
Read more at this link on the American Journal of Case reports
Citation
Hoarseness as a Rare Symptom of Idiopathic Pulmonary Arterial Hypertension Due to Ortner Syndrome: A Case Report, Challenging differential diagnosis, Rare disease Karolina Jaxa-Kwiatkowska, Magdalena Janus, Mateusz Maciej Graczyk, Katarzyna Szabatowska, Weronika Gościniak, Filip Sawczak, Jerzy Paluszkiewicz, Patrycja Woźniak, Anna Smukowska-Gorynia, Tatiana Mularek-Kubzdela DOI: 10.12659/AJCR.947011 Am J Case Rep 2025.
Photo by Luiz Rogério Nunes on Unsplash
