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Left ventricular obstruction caused by a large hiatal hernia
Author(s) -
Harada Kenji,
Tamura Ushio,
Ichimiya Chiyo,
Terada Naho,
Yokoyama Yasuhiro,
Kageyama Norihito,
Hirono Akira,
Hiroshima Yuya,
Omura Takeshi,
Yamamoto Hirofumi,
Fujinaga Hiroyuki
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13563
Subject(s) - medicine , hiatal hernia , chest pain , cardiology , radiology , hernia , emergency department , disease , reflux , psychiatry
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.