Ker J, Van Beljon J
Department of Physiology, University of Pretoria and Pretoria Heart Hospital, Pretoria.
Cardiovasc J S Afr. 2004 Jul-Aug;15(4):182-3.
A large hiatal hernia constitutes a form of posterior mediastinal mass that can encroach on the posterior aspects of the heart. During two-dimensional echocardiography this phenomenon may be confused with an intra-atrial mass or various other posterior mediastinal masses. Furthermore, such a large hiatal hernia encroaching on the heart may cause syncope. We present such a case and the various possible mechanisms of syncope, as well as review the two-dimensional echocardiographic pitfalls in these patients.
巨大食管裂孔疝是后纵隔肿物的一种形式，可侵犯心脏后方。在二维超声心动图检查时，这种现象可能会与心房内肿物或其他各种后纵隔肿物相混淆。此外，如此巨大的侵犯心脏的食管裂孔疝可能会导致晕厥。我们报告这样一例病例及其晕厥的各种可能机制，并回顾这些患者二维超声心动图检查中的陷阱。
