Hoarseness of Voice—A presenting manifestation of Primary Pulmonary Hypertension
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Hoarseness of Voice in Primary Pulmonary Hypertension (PPH) has not received attention in the past. Even in a large series on PPH there is no observation on this interesting presentation. In our study of 17 patients with PPH, hoarseness of voice was a presenting symptom in 12 (70) patients. The mode of compression of the left recurrent laryngeal nerve is discussed. This symptom helps to differentiate PPH from other causes of Pulmonary hypertension, like mitral stenosis and left to right shunts especially atrial septal defect, this is important since mitral stenosis and left to right intracardiac shunts are surgically correctable lesions whereas PPH has a relentless fatal course.
KeywordsPulmonary Hypertension Recurrent Laryngeal Nerve Patent Ductus Arteriosus Atrial Septal Defect Mitral Stenosis
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