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一例胸腺增生相关的可逆性完全性房室传导阻滞：当压迫比压迫者更重要时。

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

作者信息

Massaro Gianluca, Stifano Giuseppe, Ambrogi Vincenzo, Anemona Lucia, Mariano Enrica Giuliana, Chiricolo Gaetano, Martuscelli Eugenio, Sangiorgi Giuseppe Massimo

机构信息

Division of Cardiology, "Tor Vergata" University Hospital, 00133 Rome, Italy.

Division of Cardiology, "Tor Vergata" University Hospital, 00133 Rome, Italy.

出版信息

J Electrocardiol. 2021 Nov-Dec;69:68-70. doi: 10.1016/j.jelectrocard.2021.09.012. Epub 2021 Sep 24.

DOI:10.1016/j.jelectrocard.2021.09.012
PMID:34600403
Abstract

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.

摘要

一名19岁患者因心电图显示三度房室传导阻滞（TDAVB）伴晕厥就诊。胸部CT显示胸腺肿物，可能因外在迷走神经受压导致TDAVB。胸腺切除术后房室传导阻滞完全消失。完全性房室传导阻滞的病因应考虑外在迷走神经受压机制。

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