Logic would suggest any two structures in close proximity can have some sort of anatomical , physiological or sometimes pathological relationship .Esophagus and heart share a strategic anatomical space within the mediastinum . The left atrial wall is abetting the esophagus with only few millimeters separating the two. Trans esophageal echocardiography has utilised this proximity for it’s advantage . With the probe in esophagus we can get a 100% interior view of left atrium . Both these structures can mutually compress one another at times of pathology . ( LA compression on esophagus in mitral stenosis , Esophageal compression of LA in hiatus hernia or esophageal growths) . Now , we also realise , esophagus a functionally unrelated structure to cardiovascular system can have a impact on cardiac functioning.
Hiatus hernia of gastroesophageal junction can mechanically compress the posterior aspect of heart and result in atrial arrhythmias and pericarditis ?
Reference
1 Duygu H, Ozerkan F, Saygi S, et al. Persistent atrial fibrillation associated with
gastroesophageal refl ux accompanied by hiatal hernia. Anadolu Kardiyol Derg
2008; 8(2):164-165.
A case report from South africa
http://www.saheart.org/journal/index.php?journal=SAHJ&page=article&op=view&path[]=115&path[]=109
Read further for esophagus- heart stories.
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- ST elevation in ECG due to esophageal spasm
Dr.S.Venkatesan MD 