Reversibility of cardiopulmonary impairment after laparoscopic repair of large hiatal hernia

被引:9
|
作者
Asti, Emanuele [1 ]
Bonavina, Luigi [1 ]
Lombardi, Massimo
Bandera, Francesco [2 ]
Secchi, Francesco
Guazzi, Marco [2 ]
机构
[1] Dept Surg, Padua, Italy
[2] Univ Milan, Sch Med, IRCCS Policlin San Donato, I-20122 Milan, Italy
关键词
Hiatus hernia; Dyspnea; Palpitations; Laparoscopic fundoplication; Cardiac magnetic resonance; Cardiopulmonary exercise test;
D O I
10.1016/j.ijscr.2015.07.005
中图分类号
R61 [外科手术学];
学科分类号
摘要
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. (C) 2015 The Authors. Published by Elsevier Ltd.
引用
收藏
页码:33 / 35
页数:3
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