RT Journal Article
SR Electronic
T1 Syncope and Cardiac Arrhythmias Caused by a Paratracheal Mass
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 248
OP 250
DO 10.31486/toj.23.0032
VO 23
IS 3
A1 Clayton, Sean D.
A1 Eckholdt, Connor
A1 Samra, Navdeep
A1 Cotelingam, James
A1 Dominic, Paari
A1 Rao, Vyas R.
YR 2023
UL http://www.ochsnerjournal.org/content/23/3/248.abstract
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.