Thursday, July 19, 2018

Hiatal Hernia and Heart

Related image

  • hiatal hernia occurs when the upper part of your stomach bulges through the large muscle separating your abdomen and chest (diaphragm) [1]
  • Hiatus hernia can present as acute chest pain [3]
  • In echocardiography Hiatal Hernia Masquerading as Left Atrial Mass [2]
  • after drinking carbonated solution echo-free space replaced the mass in left atrium [2]
  • Youtube video
  • Another example image
  • An external file that holds a picture, illustration, etc.
Object name is 1476-7120-6-46-1.jpg [3]
  •  Transthoracic echocardiography analysis ( A ) in a patient with postprandial dyspnoea complaints revealed an impression of the left atrium (arrow). LA, left atrium; LV, left ventricle, Ao, aorta. Chest X-ray ( B ) shows an intrathoracic lying stomach appearing as a retrocardiac mass (arrows) with air and a fluid level.  [4]
  • Discussion and recommendations: [4]
    • various origin can impress the left atrium
    • These structures generally grow slowly
    • When a structure behind the left atrium is diagnosed using TTE
    • additional CT scan can give a more comprehensive view

References
  1. Mayo Clinic, Hiatal Hernia
  2. Hiatal Hernia Masquerading as Left Atrial Mass, Circulation 1996
  3. Echocardiographic manifestation of hiatus hernia simulating a left atrial mass: Case report. Cardiovasc Ultrasound. 2008; 
  4. Left atrial impression: a sign of extra-cardiac pathology Johan M. van Rooijen Lambert F.M. van den Merkhof European Journal of Echocardiography, Volume 9, Issue 5, 1 September 2008, Pages 661–664

No comments:

Post a Comment