An unusual cause of dyspnea in a patient with prior mitral valve annuloplasty and congestive heart failure Ulrich Lindner, MD, Martina Paetzel, MD, Christian.

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Presentation transcript:

An unusual cause of dyspnea in a patient with prior mitral valve annuloplasty and congestive heart failure Ulrich Lindner, MD, Martina Paetzel, MD, Christian S. Haas, MD The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 5, Pages 1313-1314 (May 2011) DOI: 10.1016/j.jtcvs.2010.12.008 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Supine chest radiograph showing an enlarged heart with pulmonary congestion as well as a pacemaker with correct position of both atrial and ventricular electrodes. B, Upright chest radiograph suggestive of an intrathoracic position of the stomach (arrow). C, Computed tomogram confirming a huge hiatal hernia with gastric protrusion into the thorax (asterisk). The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1313-1314DOI: (10.1016/j.jtcvs.2010.12.008) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions