Yasui Takahiro, Kasamatsu Norio, Seto Takeshi, Shinozuka Nariyuki, Nakamura Akira, Hashizume Ikko
Department of Respiratory Medicine, Hamamatsu Medical Center.
Nihon Kokyuki Gakkai Zasshi. 2006 Nov;44(11):823-7.
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.
左侧声带麻痹是肺动脉高压（也称为奥尔特纳综合征）的一种罕见并发症。在此，我们报告一例由原发性肺动脉高压（PPH）引起的奥尔特纳综合征患者。患者为一名28岁女性，主诉持续声音嘶哑和劳力性呼吸困难。诊断为左侧声带麻痹以及PPH，提示与PPH相关的肺动脉扩张导致左侧喉返神经麻痹。该病例表明，对于任何原因不明的左侧声带麻痹病例，均应怀疑PPH。
