Cor Vasa 2018, 60(5):e522-e526 | DOI: 10.1016/j.crvasa.2017.10.003

"Acute coronary syndrome" and heart failure caused by a large hiatal hernia

Jiří Holý^a,*, Pavel Červinka^a, Nedal Omran^a, Ján Koscelanský^b

^a Klinika kardiologie, Fakulta zdravotnických studií Univerzity J. E. Purkyně a Krajská zdravotní, a. s., Masarykova nemocnice Ústí nad Labem, o. z., Ústí nad Labem, Česká republika

^b Chirurgické oddělení, Krajská zdravotní, a. s., Masarykova nemocnice Ústí nad Labem, o. z., Ústí nad Labem, Česká republika

Upside down stomach (UDS) as a severe form of hiatal hernia has various clinical scenarios. Patients could be asymptomatic or present with haemodynamic collapse due to mechanical compression of the mediastinum.
We herein present a case of 71-year-old woman referred to our clinic due to acute coronary syndrome with acute onset of heart failure, which was treated accordingly. Throughout the diagnostic and therapeutic process, a diagnosis of an incarcerated UDS was established as a trigger of her symptoms. An acute surgery was performed. Despite complications in the post-op period the patient recovered successfully and was referred to a rehabilitation facility for further therapy.

Keywords: Acute coronary syndrome; Acute heart failure; Heart compression; Hiatal hernia

Received: July 28, 2017; Revised: October 1, 2017; Accepted: October 3, 2017; Published: October 1, 2018  Show citation