Giant hiatal hernia presenting with stable angina pectoris and syncope--a case report.
A 70-year-old woman with giant hiatal hernia presented with stable angina pectoris and three syncope attacks in the previous 3 months. Chest radiography showed marked cardiomegaly and an air-fluid level at the basal region of the heart. A mixed type large hiatal hernia that distorted the heart was detected in contrast-enhanced computed tomography and esophagogastroduodenography. Postprandial nonsustained ventricular tachycardia was present on 24-hour Holter ECG monitoring. The patient's symptoms were attributed to giant hiatal hernia and improved following surgery.
Akdemir
I
I
Department of Cardiology, Faculty of Medicine, Gaziantep University, Turkey. ilyasakdemir@hotmail.com
Davutoglu
V
V
Aktaran
S
S
D000368:Aged; D000787:Angina Pectoris / Q000209:etiology*; D006332:Cardiomegaly / Q000209:etiology; D005260:Female; D006551:Hernia, Hiatal / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D013575:Syncope / Q000209:etiology*; D017180:Tachycardia, Ventricular / Q000209:etiology; D014057:Tomography, X-Ray Computed