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Published byGregory Daniel Modified over 6 years ago
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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 (May 2011) DOI: /j.jtcvs Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions
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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 , DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions
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