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Literature DB >> 14717723

Syncope upon swallowing caused by an esophageal hiatal hernia compressing the left atrium: a case report.

Yoshifumi Oishi¹, Takeo Ishimoto, Norio Nagase, Kenichi Mori, Sayuri Fujimoto, Shigehito Hayashi, Yoshie Ochi, Kazuo Kobayashi, Tomotsugu Tabata, Takashi Oki.

Abstract

We describe a patient with syncope associated with swallowing. This syncope was caused by transient compression of the left atrium (LA) by an esophageal hiatal hernia. Two-dimensional echocardiography demonstrated a hyperechoic mass compressing the LA from the posterior. With air insufflation of the esophagus, compression of the LA by this hernia sac was seen to increase. Pulsed and color Doppler echocardiography revealed greatly decreased velocity of blood flowing into the LA and left ventricle (LV). Thus, marked compression of the LA by an esophageal hiatal hernia can cause syncope by impeding blood flow from the LA to the LV. Echocardiography proved highly useful in diagnosis.

Entities: Disease Species

Mesh：

Year: 2004 PMID： 14717723 DOI： 10.1111/j.0742-2822.2004.03005.x

Source DB: PubMed Journal: Echocardiography ISSN： 0742-2822 Impact factor: 1.724

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Cited

12 in total

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Authors: Subhashis Mitra; Tiffany Ludka; Shereif H Rezkalla; Param P Sharma; Jiangming Luo
Journal: Clin Med Res Date: 2011-01-24

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5. A differential diagnosis for left atrial mass on transthoracic echocardiography: hiatus hernia.

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6. Postprandial cardiogenic syncope caused by gastric polyp-induced pyloric obstruction in an elderly woman with a giant hiatal hernia: a case report.

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Journal: Surg Case Rep Date: 2017-12-13

Syncope upon swallowing caused by an esophageal hiatal hernia compressing the left atrium: a case report.

1. Unusual presentation of a common problem.

2. Unusual Diaphragmatic Hernias Mimicking Cardiac Masses.

Review 3. Swallow syncope: a case report and review of the literature.

4. Deglutition syncope.

5. A differential diagnosis for left atrial mass on transthoracic echocardiography: hiatus hernia.

6. Postprandial cardiogenic syncope caused by gastric polyp-induced pyloric obstruction in an elderly woman with a giant hiatal hernia: a case report.

7. Esophageal cancer presenting with atrial fibrillation: a case report.

8. Echocardiographic manifestation of hiatus hernia simulating a left atrial mass: case report.

9. Syncope caused by huge hiatal hernia.

10. The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension.