[Carotid sinus syndrome. Description of a case treated by surgical denervation].
A 43 years old man suffering from syncopal attacks and episodes of dizziness was found as affected by right carotid sinus syndrome causing cardioinhibition. Excluding all possible specific causes of carotid sinus hypersensitivity and, by means of electrophysiological study, any intrinsic cardiac pathology, was settled that the long pauses of asystole that produce syncopal attacks were of extrinsic vagal nature. Considering the young age of the patient an operation of surgical denervation of the right carotid sinus was decided upon. This simple and riskless treatment allowed the case to be solved without resorting to permanent pacemaker implantation.
D000328:Adult; D001027:Aortography; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002346:Carotid Sinus / Q000294:innervation*; D003714:Denervation; D004594:Electrophysiology; D006801:Humans; D008297:Male; D013575:Syncope / Q000209:etiology; D013577:Syndrome
Sindrome del seno carotideo. Descrizione di un caso trattato con denervazione chirurgica.