학술논문
Left ventricular obstruction caused by a large hiatal hernia.
Document Type
Article
Author
Source
Subject
*VENTRICULAR outflow obstruction
*DIFFERENTIAL diagnosis
*DOPPLER echocardiography
*HERNIA
*DISEASE complications
*DIAGNOSIS
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Language
ISSN
0742-2822
Abstract
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. [ABSTRACT FROM AUTHOR]