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(Circulation. 1996;93:836.)
© 1996 American Heart Association, Inc.

Articles

Hiatal Hernia Masquerading as Left Atrial Mass

Sing San Yang, MD; Peter Wagner, DO; Charles Dennis, MD

A 72-year-old woman with a history of hiatal hernia who was referred for evaluation of left ventricular function presented on two-dimensional echocardiography what was initially thought to be a posterior mass encroaching on the left atrial cavity (Fig 1). After she ingested half a can of carbonated beverage, there was a distinct echo-free space replacing a substantial portion of the original "mass," indicating that this was a portion of the herniated stomach (ie, "mass"), which became filled with air (Fig 2).

View larger version (129K): [in this window] [in a new window]   Figure 1. Echocardiogram in apical long-axis view showing an encroachment on left atrial cavity by what appears to be a large "mass" posteriorly. LV indicates left ventricle; LA, left atrium; and AO, aortic root.

View larger version (114K): [in this window] [in a new window]   Figure 2. Echocardiogram in apical long-axis view taken shortly after ingestion of carbonated beverage, showing replacement of a substantial portion of the "mass" by an echo-free space. Abbreviations as in Fig 1.

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