We present the case of a patient with a giant paraesophageal hernia associated with paroxysmal postprandial atrial fibrillation that was suppressed after surgery. The imaging investigations showed the intrathoracic displacement of a large part of the stomach, which pushed the left atrial wall causing atrial fibrillation. The laparoscopic surgical repair acted as sole treatment for this condition.

Civil protection activity is of national interest. Implementation of civil protection measures and actions represents an element to analyze and quantify the country good governance in peace time. The strategic objective of NATO Crisis Response Measures implementation in civil protection area is that of civil protection and consist in ensuring the continuity of constitutional functions by the Romanian State and increasing the national resilience in the context of civil protection situations occurrence, by protecting the population, respectively reducing social and economic effects. The responsibility of the civil protection system in the context of implementing NATO Crisis Response Measures needs to be seen and understood as a fundamental element of state functioning. The involvement of state structures in this area indicates the level of stability/instability of the national and regional security environment. The improvement of the Civil Protection national system should also be seen from the perspective of internal and international challenges. These can be addressed more effectively, with lower effects in terms of human and material costs, through a correct approach to addressing legislative gaps, eliminating relatively divergent and circumstantial approaches by the institutional form of certain strategic issues. In a complex geopolitical context for Romania, the correct approach to civil protection, which as a whole addresses the protection of the population in emergency, crisis or war situations, as well as the support to military structures involved in military actions or in fulfilling the responsibilities of the Host Nation Support, must represent a major concern for the highest political decision-makers, namely the supreme legislative body that is the Romanian Parliament.