Unusual cause of intraoperative asystole during thoracotomy: A case report Journal Article


Authors: Lee, K. J.; Manepalli, A.; Tollinche, L. E.; Yeoh, C. B.
Article Title: Unusual cause of intraoperative asystole during thoracotomy: A case report
Abstract: Thoracotomies are classified as moderate to high-risk surgeries due to the preponderance of complex anatomic structures, cardiac dysrhythmias, and respiratory insufficiency. The right vagus nerve innervates the sinoatrial node and controls the heart rate. The parasympathetic activation of the sinoatrial node can lead to bradyarrhythmias. The anatomic aortopulmonary window contains lymph nodes and the left vagus nerve. The occurrence of sudden asystole due to left vagus nerve stimulation is extremely rare. We report an unusual case of intraoperative asystole related to electrosurgical stimulation of the left vagus nerve that required cardiopulmonary resuscitation and cardiac massage. Copyright © 2021 International Anesthesia Research Society.
Journal Title: A and A Practice
Volume: 15
Issue: 5
ISSN: 2575-3126
Publisher: Lippincott Williams & Wilkins  
Date Published: 2021-05-01
Start Page: e01469
Language: English
DOI: 10.1213/xaa.0000000000001469
PUBMED: 33999865
PROVIDER: scopus
PMCID: PMC8162391
DOI/URL:
Notes: Article -- Export Date: 1 July 2021 -- Source: Scopus
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  1. Cindy Beng-Imm Yeoh
    20 Yeoh