Open AccessPost prandial and nocturnal recurrent acute heart failure caused by a large hiatal hernia
Author(s) -
Abdurrahim Duşak
Publication year - 2012
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/s2221-6189(13)60034-7
Subject(s) - medicine , left atrium , heart failure , thorax (insect anatomy) , hernia , cardiology , chest pain , surgery , radiology , atrial fibrillation , anatomy
We report a case of left heart failure caused by a sliding hiatus hernia compressing on left atrium. A 95-year-old woman was admitted with recurrent episodes of shortness of breath and chest pain. The cause was uncertain as she had normal cardiothoracic ratio on chest radiography. Computed tomography (CT) of the thorax revealed an intrathoracic mass behind the left atrium causing external compression of the left atrium suggestive of sliding hiatus hernia. We present such a case and possible mechanisms of heart failure