Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus

Neurally mediated reflex syncope is the most common cause of syncope in young individuals without cardiac or neurological pathology. We report a case of successful catheter ablation in a 17-year-old male with neurally mediated syncope (NMS) of the cardioinhibitory type. The patient had dextrocardia...

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Main Authors:	Hidetaka Suenaga, MD, Masato Murakami, MD, Tomoyuki Tani, MD, Shigeru Saito, MD
Format:	Article
Language:	English
Published:	Wiley 2015-06-01
Series:	Journal of Arrhythmia
Subjects:	Neurally mediated syncope Endocardial ablation Superior vena cava
Online Access:	http://www.sciencedirect.com/science/article/pii/S1880427614001586

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spelling	doaj-6f5eeaf4de3543a78f5b8f7d2c6dfe5b2020-11-25T00:30:28ZengWileyJournal of Arrhythmia1880-42762015-06-0131317217610.1016/j.joa.2014.10.001Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexusHidetaka Suenaga, MDMasato Murakami, MDTomoyuki Tani, MDShigeru Saito, MDNeurally mediated reflex syncope is the most common cause of syncope in young individuals without cardiac or neurological pathology. We report a case of successful catheter ablation in a 17-year-old male with neurally mediated syncope (NMS) of the cardioinhibitory type. The patient had dextrocardia situs inversus totalis with a mirror-image reversal of the thoracic and abdominal organs. Because he experienced multiple syncope episodes despite pharmacological intervention, we performed endocardial ablation of the superior vena cava–aorta ganglionated plexus. Shortly afterwards, his heart rate increased from 40 to 76 beats per minutes. He has not experienced syncope during the 1-year follow-up.http://www.sciencedirect.com/science/article/pii/S1880427614001586Neurally mediated syncopeEndocardial ablationSuperior vena cava
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Hidetaka Suenaga, MD Masato Murakami, MD Tomoyuki Tani, MD Shigeru Saito, MD
spellingShingle	Hidetaka Suenaga, MD Masato Murakami, MD Tomoyuki Tani, MD Shigeru Saito, MD Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus Journal of Arrhythmia Neurally mediated syncope Endocardial ablation Superior vena cava
author_facet	Hidetaka Suenaga, MD Masato Murakami, MD Tomoyuki Tani, MD Shigeru Saito, MD
author_sort	Hidetaka Suenaga, MD
title	Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus
title_short	Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus
title_full	Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus
title_fullStr	Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus
title_full_unstemmed	Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus
title_sort	frequent neurally mediated reflex syncope in a young patient with dextrocardia: efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus
publisher	Wiley
series	Journal of Arrhythmia
issn	1880-4276
publishDate	2015-06-01
description	Neurally mediated reflex syncope is the most common cause of syncope in young individuals without cardiac or neurological pathology. We report a case of successful catheter ablation in a 17-year-old male with neurally mediated syncope (NMS) of the cardioinhibitory type. The patient had dextrocardia situs inversus totalis with a mirror-image reversal of the thoracic and abdominal organs. Because he experienced multiple syncope episodes despite pharmacological intervention, we performed endocardial ablation of the superior vena cava–aorta ganglionated plexus. Shortly afterwards, his heart rate increased from 40 to 76 beats per minutes. He has not experienced syncope during the 1-year follow-up.
topic	Neurally mediated syncope Endocardial ablation Superior vena cava
url	http://www.sciencedirect.com/science/article/pii/S1880427614001586
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Frequent neurally mediated reflex syncope in a young patient with dextrocardia: Efficacy of catheter ablation of the superior vena cava–aorta ganglionated plexus

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