Third-Degree Atrioventricular Block And Asystole After Lung Resection: A Rare Complication


  • Patricia M. Castro Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Portugal
  • Joana Rei Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Portugal
  • Cátia Silva Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Portugal
  • José Miranda Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Portugal
  • Miguel Guerra Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Portugal; Faculdade de Medicina da Universidade do Porto, Portugal



Complete atrioventricular block, asystole, lung resection surgery, pacemaker, complication, cardiac conduction disorders


Surgical resection remains the optimal therapeutic option for early-stage operable NSCLC. Despite significant advances in recent years related to anesthetic and surgical techniques, cardiopulmonary complications remain major causes for postoperative morbimortality. 

In this paper we present a case of a patient who developed complete AV block followed by asystole after lung resection surgery. The patient underwent surgery via right VATS and the procedure was uneventful.  On the first post-operative day patient developed a third-degree atrioventricular block followed by 6 seconds asystole. Pharmacological treatment was instituted and implementation of a permanent pacemaker occurred on the third post-operative day, without complications. The remaining postoperative course was uneventful and the patient was discharged home on the sixth post-operative day. 

It is the objective of the authors to report and highlight this rare and potencial fatal complication of lung resection. 


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How to Cite

M. Castro P, Rei J, Silva C, Miranda J, Guerra M. Third-Degree Atrioventricular Block And Asystole After Lung Resection: A Rare Complication. Rev Port Cir Cardiotorac Vasc [Internet]. 2024 May 13 [cited 2024 May 21];31(1):57-8. Available from:



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