Left ventricular obstruction caused by a large hiatal hernia.
Kenji HaradaUshio TamuraChiyo IchimiyaNaho TeradaYasuhiro YokoyamaNorihito KageyamaAkira HironoYuya HiroshimaTakeshi OmuraHirofumi YamamotoHiroyuki FujinagaPublished in: Echocardiography (Mount Kisco, N.Y.) (2017)
A 76-year-old man was admitted to our emergency department owing to chest pain, which started immediately after lunch. Although electrocardiogram revealed ST-segment elevation with hyperacute T-wave changes in the anterior lead tracings, emergency coronary angiography revealed normal coronary arteries. Echocardiography revealed left ventricular (LV) compression with left ventricular obstruction (LVO) caused by an echogenic mass. Computed tomography clearly revealed compression of both left atrial (LA) and LV by a large hiatal hernia. A large hiatal hernia can induce cardiac symptoms resulting from cardiac compression. This case highlights a possible association between chest pain and LVO caused by a hiatal hernia.
Keyphrases
- left ventricular
- left atrial
- emergency department
- aortic stenosis
- hypertrophic cardiomyopathy
- mitral valve
- single cell
- cardiac resynchronization therapy
- computed tomography
- acute myocardial infarction
- heart failure
- gastroesophageal reflux disease
- healthcare
- public health
- coronary artery disease
- coronary artery
- positron emission tomography
- atrial fibrillation
- magnetic resonance
- pulmonary hypertension
- physical activity
- acute coronary syndrome
- catheter ablation
- depressive symptoms
- percutaneous coronary intervention