Paroxysmal Postprandial Atrial Fibrilation Suppressed by Laparoscopic Repair of a Giant Paraesophageal Hernia Compressing the Left Atrium

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Daniel A. Cristian1,3, Alin S. Constantin1, Mariana Barbu2, Dan Spătaru2,3, Traean Burcos1,3, Florin A. Grama1,3

1) General Surgery Department;
2) Department of Cardiology, Coltea Clinical Hospital;
3) Carol Davila University of Medicine and Pharmacy, Bucharest Romania


We present the case of a patient with a giant paraesophageal hernia associated with paroxysmal postprandial atrial fibrillation that was suppressed after surgery. The imaging investigations showed the intrathoracic displacement of a large part of the stomach, which pushed the left atrial wall causing atrial fibrillation. The laparoscopic surgical repair acted as sole treatment for this condition.

Key words: giant hiatal hernia - paroxysmal postprandial atrial fibrillation - laparoscopic hiatal hernia repair.