Ortner's syndrome is a really rare complication that manifest by
hoarseness of voice. It is usually due to left recurrent laryngeal nerve
compression. Cardiac causes of Ortner's syndrome are rarely encountered
and it is usually due to left atrial enlargement as a complication of
valvular lesions affecting mitral valve but other rare causes include
ascending aortic aneurysm or pulmonary artery aneurysm. Hereby, we
present the 3rd case in the literature to report Ortner's syndrome due
to pulmonary artery aneurysm in a 38-year old female patient with
previous history of bilharziasis.