<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].