Reversibility of cardiopulmonary impairment after laparoscopic repair of large hiatal hernia

Giant hiatus hernia with or without intrathoracic gastric volvulus often presents with symptoms suggestive of both cardiac and pulmonary compression. Cardiopulmonary impairment may be reversible in these patients by laparoscopic crural repair and fundoplication as shown in this case report. Cardiac...

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Detalles Bibliográficos
Autores principales: Asti, Emanuele, Bonavina, Luigi, Lombardi, Massimo, Bandera, Francesco, Secchi, Francesco, Guazzi, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573215/
https://www.ncbi.nlm.nih.gov/pubmed/26210719
http://dx.doi.org/10.1016/j.ijscr.2015.07.005
Descripción
Sumario:Giant hiatus hernia with or without intrathoracic gastric volvulus often presents with symptoms suggestive of both cardiac and pulmonary compression. Cardiopulmonary impairment may be reversible in these patients by laparoscopic crural repair and fundoplication as shown in this case report. Cardiac magnetic resonance and the cardiopulmonary exercise test may help selecting patients for surgery. These preliminary findings led us to start a prospective study using this multimodality diagnostic approach.

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