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Updated: Aug 9, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Diaphragmatic hernia mimicking an atrial mass: a two-dimensional echocardiographic pitfall and a cause of
1Department of Physiology, University of Pretoria and Pretoria Heart Hospital, Pretoria.
Abstract:
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.
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