Figure 2. A: A bedside-echocardiogram at initial presentation showed compression of the left ventricle (black arrow heads) by a mass lesion (black asterisk). B: During a fasting state, the size of the mass became smaller (white asterisk) and there was no apparent compression of the left ventricle

From

Syncope Due to Intracavitary Left Ventricular Obstruction Secondary to Giant Esophageal Hiatus Hernia

Kazuhito Hirata, Yuji Shimabukuro, Takanori Takahashi, Minoru Wake

American Journal of Medical Case Reports. 2017, 5(4), 89-93 doi:10.12691/ajmcr-5-4-4