[Surgical therapy of severe carotid sinus syndrome]

A 76 year old female, suffering from a severe carotid sinus syndrome, is presented. Conventional therapeutic measures with medication, radiation and implantation of a pacemaker did not influence her syncopal attacks. She sustained several syncopes daily and was forced to almost permanent bedrest. Only with an operative procedure, consisting of bilateral microsurgical carotid sinus denervation, the patient could finally be relieved from her syncopal attacks.