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Updated: Mar 19, 2026

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
Heart failure induced by the restrictive left ventricle due to hiatus hernia
Yukari Ishibashi1, Kazuhiro Nishigami2, Misa Watanabe1
1Cardiovascular Laboratory, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Abstract:
A 76-year-old woman presented with shortness of breath and dyspnea after the intake of meals. Chest X-ray showed pulmonary congestion and pleural effusion. Computed tomography disclosed a hiatus hernia. Echocardiography demonstrated that the motion of the posterior wall in the left ventricle (LV) was paradoxically by the hiatus hernia, although LV ejection fraction was preserved. The restriction of LV by hiatus hernia could cause heart failure and open surgical repair of the hiatus hernia was performed. Dyspnea after the intake of meals disappeared and no recurrence of heart failure was observed in the subsequent period of several years.
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