PT  - JOURNAL ARTICLE
AU  - Clayton, Sean D.
AU  - Eckholdt, Connor
AU  - Samra, Navdeep
AU  - Cotelingam, James
AU  - Dominic, Paari
AU  - Rao, Vyas R.
TI  - Syncope and Cardiac Arrhythmias Caused by a Paratracheal Mass
AID  - 10.31486/toj.23.0032
DP  - 2023 Sep 21
TA  - Ochsner Journal
PG  - 248--250
VI  - 23
IP  - 3
4099  - http://www.ochsnerjournal.org/content/23/3/248.short
4100  - http://www.ochsnerjournal.org/content/23/3/248.full
SO  - Ochsner J2023 Sep 21; 23
AB  - Background: Syncope is a common complaint in clinical practice. The etiologies and mechanisms can be multiple and complex. Syncope caused by a mediastinal mass compressing the vagus nerve is rare.Case Report: We report the case of a patient who presented to the emergency department experiencing recurrent syncope. Imaging revealed a large, calcified mass in the right paratracheal region. After intracranial lesions, cardiac arrhythmias, and orthostatic hypotension were excluded, we suspected that the syncope was related to vagus nerve compression. The patient underwent surgical resection of a mediastinal mass and had complete resolution of syncopal episodes after surgery.Conclusion: This case outcome suggests that recurrent syncope could be the first symptom of an intrathoracic mass.