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Rens A. van der Linde, MD, Seilenna S. Lases, MD, Thomas J

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Presentation on theme: "Rens A. van der Linde, MD, Seilenna S. Lases, MD, Thomas J"— Presentation transcript:

1 A Decreased Preload Due to a Loaded Stomach: A Rare Presentation of a Paraesophageal Hernia 
Rens A. van der Linde, MD, Seilenna S. Lases, MD, Thomas J. Buist, MD, Henderik L. van Westreenen, MD, PhD, Vincent B. Nieuwenhuijs, MD, PhD  The Annals of Thoracic Surgery  Volume 104, Issue 6, Pages e451-e453 (December 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 First electrocardiography after cardiopulmonary resuscitation revealed a right bundle branch block and ST-segment abnormalities in the inferior leads (II, III, and aVF), secondary to the bundle branch block. These abnormalities were interpreted by the Emergency Medical Service as ST-segment elevation myocardial infarction. The Annals of Thoracic Surgery  , e451-e453DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Anterior-posterior view chest radiograph. A bean-shaped figure filled with air (double contour) overlaps the majority of the heart contour owing to a massive paraesophageal hernia. The Annals of Thoracic Surgery  , e451-e453DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Computed tomography images of the thorax and upper abdomen in (A) sagittal view and (B) axial view. The paraesophageal hernia causes anterior shifting of the entire heart. The heart is compressed between the intrathoracic stomach (St) posteriorly and the thoracic wall anteriorly. Both the pulmonary artery (PA) and left atrium (LA) are affected by the mass. (Ao = aorta; Es = esophagus; Li = liver; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery  , e451-e453DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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