%0 Journal Article %T Surgical Repair of Giant Type IV Hiatal Hernia %J Journal of Cardio-Thoracic Medicine %I Mashhad University of Medical Sciences %Z 2345-2447 %A Afghani, Reza %A Hajimohammadi, Amir %A Norouzi Asl, Sina %A Bagherian, Farzad %D 2016 %\ 12/01/2016 %V 4 %N 4 %P 529-529 %! Surgical Repair of Giant Type IV Hiatal Hernia %K Surgical %K repair %K Hiatal Hernia %R 10.22038/jctm.2016.7877 %X In this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. Chest X-ray of the patient revealed a  gianttype IV hiatal hernia. Preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and CT-scan. Repair of the hernia was performed using a dual mesh on the diaphragm and partial anterior fundoplication (Dor fundoplication). After a six-month follow-up, the overall condition of the patient  is satisfactory,  exceptmild intermittent dysphagia due to esophageal dysmotility. %U https://jctm.mums.ac.ir/article_7877_843e9b913a057a453af8ec1d9034113c.pdf