- 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
- [3]
- [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
- Mayo Clinic, Hiatal Hernia
- Hiatal Hernia Masquerading as Left Atrial Mass, Circulation 1996
- Echocardiographic manifestation of hiatus hernia simulating a left atrial mass: Case report. Cardiovasc Ultrasound. 2008;
- 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
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