Concomitant surgical ablation or left atrial appendage occlusion at the time of cardiac
surgery should be performed in nearly all patients with atrial fibrillation to improve
long-term outcomes.
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References
- Does surgical ablation for atrial fibrillation benefit patients undergoing bioprosthetic valve replacement?.Semin Thorac Cardiovasc Surg. 2022; 34: 906-915
- Performance of the Cox-maze IV procedure is associated with improved long-term survival in patients with atrial fibrillation undergoing cardiac surgery.J Thorac Cardiovasc Surg. 2018; 155: 159-170
- Surgical ablation of atrial fibrillation in hypertrophic obstructive cardiomyopathy: Outcomes of a tailored surgical approach.J Card Surg. 2020; 35: 2957-2964
- How does chronic atrial fibrillation influence mortality in the modern treatment era?.Curr Cardiol Rev. 2015; 11: 190-198
- Left atrial appendage occlusion during cardiac surgery to prevent stroke.N Engl J Med. 2021; 384: 2081-2091
Article info
Publication history
Published online: June 20, 2021
Footnotes
Conflicts of Interest: Dr Hodges is a consultant for AtriCure. Dr Burns is a consultant for Medtronic. Dr Gillinov is a consultant for Edwards, Medtronic, Cryolife, Abbott, ClearFlow, and AtriCure. Dr Suri has no conflicts of interest.
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© 2021 Elsevier Inc. All rights reserved.
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- Does Surgical Ablation of Atrial Fibrillation Benefit Patients Undergoing Bioprosthetic Valve Replacement?Seminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 3
- PreviewThe benefit of avoiding lifelong anticoagulation therapy in patients with bioprosthetic heart valve implantation may potentially be offset by atrial fibrillation (AF); however, clinical impact of surgical AF ablation in such patients remains controversial. We enrolled 426 patients (aged 72.0 ± 7.8 years) with AF who underwent left-side valve replacement with bioprostheses between 2001 and 2018. Of these, 297 underwent concomitant surgical ablation (ablation group) and 129 underwent valve replacement alone (non-ablation group).
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