Hiatal

herniation of the stomach and pancreas in a patient with oxygen desaturations H iatal hernia (HH), a neglected cause of cardio-respiratory symptoms, is a frequent entity characterized by the displacement of the gas-tro-esophageal junction and part of the stomach into the mediastinum. Although often asymptomatic, HH may also exert a wide spectrum of clinical presentations due to cardio-pulmonary compression, including acute cardio-vascular events such as arrhythmias, post-prandial syncope, angina-like chest pain, recurrent acute heart failure, hemodynamic collapse, electrocardiographic changes (T-wave inversion, ST elevation) simulating myocardial ischemia or pericarditis, and respirator