Key result
Multimodality imaging reveals chest pain and suspected LA mass stem from a compressive hiatal hernia.
Why the study?
Hiatal hernia can cause chest pain and mimic a cardiac mass, complicating diagnosis in suspected ischemic heart disease.
Case Report (n=1)
Multimodality imaging is essential for accurately diagnosing suspected cardiac masses, as extracardiac structures like hiatal hernias can mimic them and cause chest discomfort.
Hiatal hernia warrants consideration in LA mass differentials on echocardiography; leaves open optimal imaging strategy for suspected cardiac compression.
Based on a case of suspected ischemic heart disease we review hiatal hernia causing chest pain. Rest echocardiography images were suggestive of cardiac mass in the left atrium. Dobutamine stress echocardiogram was negative for inducible ischemia. Multi-slice computed tomography of the chest was performed showing that a large hiatal hernia was present compressing on the left atrium. Multimodality imaging is necessary for suspected mass compressing the heart, causing chest discomfort.
No takes yet. Share an insight, caveat, or question.
Palios et al. (2014) conducted a case report in Chest pain and suspected ischemic heart disease (n=1). Multimodality imaging (echocardiography and multi-slice computed tomography) was evaluated on Diagnosis of the cause of chest pain and suspected cardiac mass. Multimodality imaging revealed that chest pain and a suspected left atrial cardiac mass on echocardiography were actually caused by a large hiatal hernia compressing the left atrium.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: