Massive Recurrent Anterior Diaphragmatic Hernia, Coronary Artery Disease, and Valvular Heart Disease

We report the case of a 76-year-old woman found on preoperative evaluation for vaginal prolapse to have coronary artery disease, aortic stenosis, and a large recurrent anterior diaphragmatic hernia. The clinical presentation and surgical management of this case, and the review of the literature are discussed.