Syncope Upon Swallowing Caused by an Esophageal Hiatal Hernia Compressing the Left Atrium: A Case Report
| Autor: | Norio Nagase, Takeo Ishimoto, Shigehito Hayashi, Kenichi Mori, Yoshifumi Oishi, Tomotsugu Tabata, Kazuo Kobayashi, Takashi Oki, Sayuri Fujimoto, Yoshie Ochi |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Left atrium Syncope Swallowing Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Hernia Heart Atria Esophagus Aged biology business.industry Syncope (genus) Blood flow biology.organism_classification medicine.disease Esophageal hiatal hernia digestive system diseases Deglutition Echocardiography Doppler Color Hernia Hiatal medicine.anatomical_structure Ventricle Cardiology Female Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Echocardiography. 21:61-64 |
| ISSN: | 1540-8175 0742-2822 |
| DOI: | 10.1111/j.0742-2822.2004.03005.x |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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