A thymic hyperplasia-related reversible complete atrioventricular block: When compression is more important than compressor

A thymic hyperplasia-related reversible complete atrioventricular block: When compression is more important than compressor

A 19-year-old patient presented for syncope with third-degree AV block (TDAVB) at ECG. A chest-CT showed a thymic mass that could be responsible for TDAVB due to extrinsic vagal nerve compression. Thymectomy led to complete AV block resolution. An extrinsic vagal compression mechanism should be cons...

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Veröffentlicht in:Journal of electrocardiology 2021-11, Vol.69, p.68-70
Hauptverfasser: Massaro, Gianluca, Stifano, Giuseppe, Ambrogi, Vincenzo, Anemona, Lucia, Mariano, Enrica Giuliana, Chiricolo, Gaetano, Martuscelli, Eugenio, Sangiorgi, Giuseppe Massimo
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Atrioventricular Block - diagnosis
Atrioventricular Block - etiology
AV block
Cardiac arrhythmia
Compressors
Copolymers
Drug delivery systems
ECG
Electrocardiography
Humans
Parasympathetic nervous system
Syncope - etiology
Thymus Hyperplasia
Vagus Nerve
Vagus nerve compression
Young Adult
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Beschreibung
Zusammenfassung:A 19-year-old patient presented for syncope with third-degree AV block (TDAVB) at ECG. A chest-CT showed a thymic mass that could be responsible for TDAVB due to extrinsic vagal nerve compression. Thymectomy led to complete AV block resolution. An extrinsic vagal compression mechanism should be considered among causes of complete atrioventricular block.
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2021.09.012