title: Transthoracic repair of paraesophageal diaphragmatic hernia presenting with symptoms mimicking cardiac disease (chest pain and breathlessness).
abstract: We discuss a case of 60-year-old female patient, who presented with history of chest pain radiating to left shoulder, breathlessness and postprandial discomfort. Patient was initially suspected to be suffering from cardiac pathology and was evaluated accordingly. Upper gastrointestinal endoscopy also missed the findings of paraesophageal hernia as the gastroesophageal junction was at its normal position. Chest roentgenogram raised the suspicion of diaphragmatic hernia, computed tomogram of chest and abdomen was done later on and showed characteristic features of paraesophageal hernia. Patient underwent transthoracic repair of the paraesophageal hernia along with partial fundoplication and had complete relief from the symptoms after surgery.
authors.affiliation: Assistant Professor, Department of Cardiothoracic and Vascular Surgery, Dr. RPGMC , Kangra,Tanda (HP), India .
authors.forename: Vikas Deep
authors.initials: VD
authors.lastname: Goyal
authors.affiliation: Professor, Department of Surgery, Dr. RPGMC , Kangra,Tanda (HP), India .
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Assistant Professor, Department of Surgery, Dr. RPGMC , Kangra,Tanda (HP), India .
authors.forename: Som
authors.initials: S
authors.lastname: Mahajan
authors.affiliation: Junior Resident, Department of Surgery, Dr. RPGMC , Kangra,Tanda (HP), India .
authors.forename: Ashwani
authors.initials: A
authors.lastname: Kumar
keywords: Belsey mark Iv repair; Breathlessness; Chest pain; Paraesophageal hernia; Thoracotomy