<Table 3>
In their interesting case report, Papoulidis et al. (2014) reported a
patient who developed significant hemodynamic instability after coronary
artery bypass surgery due to a distended massive hiatus hernia that
posed a tamponade effect. Once a NGT was placed to decompress the
stomach and aspirate gastric content, there was an astonishing
improvement in the patient’s status. This suggests that the presence of
large hiatal hernias may be a reasonable indication for NGT after
cardiac surgery [26].