title: Reversibility of cardiopulmonary impairment after laparoscopic repair of large hiatal hernia.
abstract: Giant hiatus hernia with or without intrathoracic gastric volvulus often presents with symptoms suggestive of both cardiac and pulmonary compression. Cardiopulmonary impairment may be reversible in these patients by laparoscopic crural repair and fundoplication as shown in this case report. Cardiac magnetic resonance and the cardiopulmonary exercise test may help selecting patients for surgery. These preliminary findings led us to start a prospective study using this multimodality diagnostic approach.
authors.affiliation: Department of Surgery, Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Asti
authors.affiliation: Department of Surgery, Italy. Electronic address: luigi.bonavina@unimi.it.
authors.forename: Luigi
authors.initials: L
authors.lastname: Bonavina
authors.affiliation: Cardiac Radiology, and Cardiology, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Lombardi
authors.affiliation: IRCCS Policlinico San Donato,University of Milan Medical School, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Bandera
authors.affiliation: Cardiac Radiology, and Cardiology, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Secchi
authors.affiliation: IRCCS Policlinico San Donato,University of Milan Medical School, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Guazzi
keywords: Cardiac magnetic resonance; Cardiopulmonary exercise test; Dyspnea; Hiatus hernia; Laparoscopic fundoplication; Palpitations