Deglutition syncope: A manifestation of vagal hyperactivity following carotid endarterectomy

Eric D. Endean, William Cavatassi, Joseph Hansler, Ehab Sorial

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


A 61-year-old man with left amaurosis fugax and bilateral >80% internal carotid artery stenoses underwent a left carotid endarterectomy. On the first postoperative day, he developed hypotension, bradycardia, and chest pain with food ingestion. He was diagnosed as having deglutition syncope and was treated with oral anticholinergics. Similar symptoms occurred when he underwent a right carotid endarterectomy. Deglutition syncope is a neurally mediated situational syncope resulting from vagus nerve over-activity. This is the first report of deglutition syncope associated with carotid endarterectomy. It is important to recognize and differentiate these symptoms from other causes of postendarterectomy hemodynamic instability.

Original languageEnglish
Pages (from-to)720-722
Number of pages3
JournalJournal of Vascular Surgery
Issue number3
StatePublished - Sep 2010

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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