Key result
A 71-year-old woman developed severe bradycardia and asystole due to a vagal reflex during thoracoscopic left upper lobectomy, which resolved with mechanical stimulation and intravenous atropine.
Why the study?
Vagus nerve stimulation during lung resection can rarely cause cardiac arrest as an intraoperative complication.
Case Report (n=1)
Manipulation of the left pulmonary hilum during thoracoscopic surgery can trigger a severe vagal reflex leading to bradycardia and asystole, requiring prompt recognition and intervention.
Answers are grounded in this paper and cite their sources.
Alerts thoracic teams to vagal asystole risk during hilum manipulation; leaves open optimal prevention in thoracoscopic procedures.
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Kawana et al. (2019) conducted a case report in Left lung cancer (lung adenocarcinoma) (n=1). Thoracoscopic left upper lobectomy with nodal dissection was evaluated. A 71-year-old woman developed severe bradycardia and asystole due to a vagal reflex during thoracoscopic left upper lobectomy, which resolved with mechanical stimulation and intravenous atropine.
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