title: Chest pain due to hiatal hernia mimicking as cardiac mass.
abstract: 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.
authors.affiliation: Division of Cardiology, Department of Medicine, Emory University Hospital , Atlanta, Georgia , USA.
authors.forename: John
authors.initials: J
authors.lastname: Palios
authors.forename: Stephen
authors.initials: S
authors.lastname: Clements
authors.forename: Stamatios
authors.initials: S
authors.lastname: Lerakis
mesh_terms: D000368:Aged; D002637:Chest Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D025401:Echocardiography, Stress; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging*; D006551:Hernia, Hiatal / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D061330:Multidetector Computed Tomography