Paediatric Pulmonary Hypertension Caused by an ACVRL1 Mutation Presenting As Ortner Syndrome
Overview
Pediatrics
Affiliations
We report a rare aetiology of vocal cord paralysis secondary to undiagnosed severe pulmonary hypertension from a de novo ACVRL1 variant identified by whole-genome sequencing. The patient had a partial response to intravenous treprostinil in addition to inhaled nitric oxide, bosentan, and sildenafil.
Giving Voice to Cardiovocal Syndrome: A 26-Year-Old Woman With Hypophonia and Dysphagia.
Ehrenberger K Cureus. 2023; 15(11):e48917.
PMID: 38106692 PMC: 10725325. DOI: 10.7759/cureus.48917.
Ortner's syndrome: A systematic review of presentation, diagnosis and management.
Verma S, Talwar A, Talwar A, Khan S, Krishnasastry K, Talwar A Intractable Rare Dis Res. 2023; 12(3):141-147.
PMID: 37662622 PMC: 10468413. DOI: 10.5582/irdr.2023.01047.
Pulmonary Hypertension and Hereditary Hemorrhagic Telangiectasia Related to an ACVRL1 Mutation.
Yokokawa T, Sugimoto K, Kimishima Y, Misaka T, Yoshihisa A, Morisaki H Intern Med. 2019; 59(2):221-227.
PMID: 31511490 PMC: 7008044. DOI: 10.2169/internalmedicine.3625-19.