• Internal medicine · Apr 2023

    Case Reports

    Swallowing-induced Atrial Tachycardia with a Thymic Cyst: A Case Report.

    • Haruka Kameshima, Toshiyuki Furukawa, Shunichi Doi, Osamu Tanaka, Tomoo Harada, and J AkashiYoshihiroYDivision of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Japan..
    • Heart Center, St. Marianna University School of Medicine, Toyoko Hospital, Japan.
    • Intern. Med. 2023 Apr 15; 62 (8): 116711701167-1170.

    AbstractWe herein report a 34-year-old man who presented with recurrent palpitations that occurred while swallowing solid food. Holter monitoring revealed atrial tachycardia (AT) while eating. In addition, chest computed tomography (CT) showed a small nodule in the front of the ascending aorta. Thoracoscopic surgery was performed to remove the nodule; a pathological examination revealed that the nodule was a thymic cyst. The AT disappeared postoperatively. This case demonstrates that a mediastinal nodule can cause swallowing-induced AT.

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