Large hiatal hernia at chest radiography in a woman with cardiorespiratory symptoms

Torres, Daniele; Parrinello, Gaspare; Cardillo, Mauro; Pomilla, Marina; Trapanese, Caterina; Bellanca, Michele; Lupo, Umberto; Schimmenti, Caterina; Caputo, Francesco; Pietrantoni, Rossella; Vogiatzis, Danai; Licata, Giuseppe

doi:10.1016/j.ajem.2012.03.009

Cited by 4 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hiatal hernia may be visualized in the transthoracic echocardiogram while it is encroaching on the posterior part of the left atrium and left atrioventricular junction [41]. Hiatal hernia is usually seen as an extracardiac posterior mass encroaching on the left atrial cavity, mimicking a left atrial mass on transthoracic echocardiography [25,[42][43][44][45][46][47][48][49][50][51][52][53][54]. However, this may not be obviously apparent since its visualization relates to the imaging plane and respiratory fluctuation [41].…”

Section: Tension Gastrothorax As Hiatal Hernia Complicationmentioning

confidence: 99%

Hiatal hernia as a rare cause of cardiac complications – case based review of the literature

Krawiec¹,

Szczasny²,

Kadej

et al. 2021

Ann Agric Environ Med.

View full text Add to dashboard Cite

show abstract

Section: Tension Gastrothorax As Hiatal Hernia Complicationmentioning

confidence: 99%

Hiatal hernia as a rare cause of cardiac complications – case based review of the literature

Krawiec¹,

Szczasny²,

Kadej

et al. 2021

Ann Agric Environ Med.

View full text Add to dashboard Cite

show abstract

“…After correction of the condition, the electrocardiographic abnormalities disappeared and the central venous pressure normalized [6]. Others have reported PEH with compromised respiratory function [7], left atrium compression causing syncope [8], or both cardiac and pulmonary symptoms [3]. To our knowledge, no previous case has reported a PEH resulting in right ventricle compression followed by a cardiac arrest.…”

Section: Commentmentioning

confidence: 99%

“…However, meticulous anamneses may reveal symptoms including epigastric pain, dysphagia, and postprandial fullness [2]. On rare occasions, hiatal hernia can lead to cardiorespiratory compromise [3]. Adequate management includes early diagnosis and subsequent treatment to prevent shortterm mortality.…”

mentioning

confidence: 99%

A Decreased Preload Due to a Loaded Stomach: A Rare Presentation of a Paraesophageal Hernia

Linde

Lases

Buist

et al. 2017

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

A hiatal hernia is a condition in which intraabdominal content herniates into the intrathoracic cavity. On rare occasions, a hiatal hernia can lead to cardiorespiratory compromise. We report a case of chest pain followed by cardiac arrest in a patient not known to have hiatal hernia, and without preliminary symptoms. The patient was suspected of having cardiac ischemia; however, angiography did not reveal any abnormalities. Chest tomography revealed a large paraesophageal hernia with compression of the right ventricle causing decreased preload and cardiac output. Gastric decompression was performed, and definitive surgical treatment took place the subsequent day. The postoperative course was uncomplicated.

show abstract

“…Hiatal hernias in adults often develop in elderly people, and the main symptoms are heartburn, chest pain, reflux, and dysphagia. Some reports have described cardiac complications such as arrhythmia and heart failure caused by giant hiatal hernias [ 1 , 2 ]. However, few reports have mentioned heart failure-induced syncope in patients with giant hiatal hernias [ 3 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Postprandial cardiogenic syncope caused by gastric polyp-induced pyloric obstruction in an elderly woman with a giant hiatal hernia: a case report

et al. 2017

View full text Add to dashboard Cite

BackgroundHiatal hernias are common. In some reports, hiatal hernias have been implicated in causing dyspnea, syncope, and heart failure.Case presentationAn 82-year-old woman with a hiatal hernia was admitted to our hospital because she had experienced postprandial syncope during the last few years. Esophagogastroduodenoscopy revealed a large hiatal hernia and a pedunculated polyp of the stomach antrum that fit into the pylorus. An upper gastrointestinal contrast study showed that the entire stomach had relocated to the thoracic cavity and that the body of the stomach was located above the fundus, resulting in a so-called upside-down stomach. Contrast-enhanced computed tomography revealed that a large portion of the stomach, transverse colon, and part of the pancreas were present in the mediastinum. We then performed transthoracic echocardiography followed by a water pouring test using a nasogastric tube. After instillation of 2000 ml of saline, the left atrium was markedly compressed and the area of the mitral annulus was reduced. We determined that stomach dilation by the hiatal hernia and gastric polyp had caused the syncope. The patient underwent laparoscopic hiatal hernia repair and endoscopic gastric polypectomy, and she experienced no syncopal episodes for 5 months postoperatively.ConclusionsClinicians should recognize that a large hiatal hernia may be a risk factor for syncope.

show abstract

Large hiatal hernia at chest radiography in a woman with cardiorespiratory symptoms

Cited by 4 publications

References 5 publications

Hiatal hernia as a rare cause of cardiac complications – case based review of the literature

Hiatal hernia as a rare cause of cardiac complications – case based review of the literature

A Decreased Preload Due to a Loaded Stomach: A Rare Presentation of a Paraesophageal Hernia

Postprandial cardiogenic syncope caused by gastric polyp-induced pyloric obstruction in an elderly woman with a giant hiatal hernia: a case report

Contact Info

Product

Resources

About