Third-Degree Atrioventricular Block And Asystole After Lung Resection: A Rare Complication
DOI:
https://doi.org/10.48729/pjctvs.407Keywords:
Complete atrioventricular block, asystole, lung resection surgery, pacemaker, complication, cardiac conduction disordersAbstract
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.
Downloads
References
eh E, Casali G. Patient-tailored prevention of post-operative complications after lung resection. Precision Cancer Medicine. 2019;2.
Bialka S, Jaroszynski A, Schlegel TT, Misiolek H, Czyzewski D, Sawicki M, Skoczylas P, Bielacz M, Bialy M, Szarpak L, Dabrowski W. Elective lung resection increases spatial QRS-T angle and QTc interval. Cardiol J. 2020;27(6):705-714. doi: 10.5603/ CJ.a2018.0159. Epub 2018 Dec 21. PMID: 30575004; PMCID: PMC8079107.
Brunelli A, Cassivi SD, Fibla J, Halgren LA, Wigle DA, Allen MS, Nichols FC, Shen KR, Deschamps C. External validation of the recalibrated thoracic revised cardiac risk index for predicting the risk of major cardiac complications after lung resection. Ann Thorac Surg. 2011 Aug;92(2):445-8. doi: 10.1016/j.athoracsur.2011.03.095. Epub 2011 Jun 24. PMID: 21704295.
Asamura H, Naruke T, Tsuchiya R, Goya T, Kondo H, Suemasu K. What are the risk factors for arrhythmias after thoracic operations? A retrospective multivariate analysis of 267 consecutive thoracic operations. J Thorac Cardiovasc Surg. 1993 Dec;106(6):1104-10. PMID: 8246546.
Chhabra L, Bajaj R, Chaubey VK, Kothagundla C, Spodick DH. Electrocardiographic impacts of lung resection. J Electrocardiol. 2013 Nov-Dec;46(6):697.e1-8. doi: 10.1016/j.jelectrocard.2013.05.140. Epub 2013 Jul 3. PMID: 23830322.
Nair AS, Macherla G, Sahoo RK, Verma S. Electrocardiographic changes after lung resection: Case report and brief review. Anesth Essays Res. 2015 May-Aug;9(2):263-5. doi: 10.4103/0259-1162.154048. PMID: 26417141; PMCID: PMC4563980.
Cunha AS, Galveias I, Freitas A, Condec P. Bloqueio Auriculoventricular de Terceiro Grau e Assistolia Induzidos por Intubação com Tubo de Duplo Lúmen: A Abordagem de uma Complicação Rara e Arriscada. Rev Soc Port Anestesiol [Internet]. 16 de Setembro de 2019 [citado 14 de Abril de 2024];28(3):194-7. Disponível em: https://revistas.rcaap.pt/ anestesiologia/article/view/18094
Glikson M, Nielsen JC, Kronborg MB, Michowitz Y, Auricchio A, Barbash IM, Barrabés JA, Boriani G, Braunschweig F, Brignole M, Burri H, Coats AJS, Deharo JC, Delgado V, Diller GP, Israel CW, Keren A, Knops RE, Kotecha D, Leclercq C, Merkely B, Starck C, Thylén I, Tolosana JM; ESC Scientific Document Group. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021 Sep 14;42(35):3427-3520. doi: 10.1093/eurheartj/ehab364. Erratum in: Eur Heart J. 2022 May 1;43(17):1651. PMID: 34455430.
Downloads
Published
How to Cite
License
Copyright (c) 2024 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
This work is licensed under a Creative Commons Attribution 4.0 International License.