title: Rare chronic gastric volvulus associated with left atrial and mediastinal compression.
abstract: We report a case of chronic gastric volvulus associated with left atrial compression in a 75-year-old woman who presented with chest pain, shortness of breath, and hypotension after elective hemiarthroplasty of the left hip. The patient's medical history included a paraesophageal hernia and gastric volvulus diagnosed in 1997 but left untreated. The present diagnosis of gastric volvulus was made on the basis of a chest radiograph and subsequent computed tomography. Echocardiography showed the volvulus compressing the left atrium. Surgery to repair the defect was successful, and there were no operative or postoperative complications. A review of the world medical literature revealed that gastric volvulus is rarely reported to cause hemodynamic compromise or compression of the heart and mediastinal structures.
authors.affiliation: Department of Cardiology, Texas Heart Institute, Houston, Texas 77030, USA.
authors.forename: Jabi E
authors.initials: JE
authors.lastname: Shriki
authors.forename: Khanh
authors.initials: K
authors.lastname: Nguyen
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Rozo
authors.forename: George J
authors.initials: GJ
authors.lastname: Reul
authors.forename: Ali
authors.initials: A
authors.lastname: Mortazavi
mesh_terms: D000368:Aged; D016279:Atrial Function, Left / Q000502:physiology*; D002908:Chronic Disease; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology*; D006801:Humans; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology*; D011859:Radiography; D013277:Stomach Volvulus / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology*