The woman was admitted to hospital due to recurrent syncope and chest pain.

Introduction: Reflex vasovagal-or cardioinhibitory syncope is known to be a major cause of recurrent syncope in children.

It is suggested that the tilt response is psychogenic and reveals a psychiatric cause for recurrent syncope.

Conclusion: To our knowledge, this is the first case of inflammatory myofibroblastic tumor in which recurrent syncope is the only clinical manifestation.

LCSD should be considered in patients with recurrent syncope despite beta-blockade and in patients who experience arrhythmia storms with an implanted defibrillator.

A 3.5-year-old child with hypertrophic obstructive cardiomyopathy and recurrent syncope underwent surgical left-ventricular outflow tract myectomy and implantation of a single-chamber automatic cardioverter defibrillator.

Indications for the procedure may include: Recurrent syncope or right ventricular failure, despite maximal medical therapy, including oral calcium-channel blockers or continuous intravenous prostacyclin (Fig.