Compression and paralysis of the left recurrent laryngeal nerve by a dilated pulmonary artery is a rare complication of pulmonary hypertension. We here report the case of a patient with severe haemophilia A and HIV infection who presented with a persistent hoarseness of voice and a left vocal cord palsy caused by HIV-associated pulmonary hypertension. This case suggests that HIV-associated pulmonary hypertension should be suspected in any HIV patient presenting with unexplained left vocal cord palsy.
Hermans, C., Manocha, S., McLaughlin, J. E., Lipman, M., & Lee, C. A. (2005). Ortner syndrome and haemophilia. Haemophilia (Print), 11(5), 548-551. https://doi.org/10.1111/j.1365-2516.2005.01140.x (Original work published 2005)