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Specialty: Cardiovascular & Thoracic Surgery
Condition: Atrial Fibrillation

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Total 564 results found since Jan 2013.

Atrial fibrillation: Current and emerging surgical strategies
ConclusionsThis article provides a comprehensive review of the surgical management of AF. We have summarized the latest surgical outcomes and contextualized the most recent guidelines.
Source: Journal of Cardiac Surgery - August 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ali Fatehi Hassanabad, Hallie L. Jefferson, Ganesh Shanmugam, William D T Kent Tags: REVIEW ARTICLE Source Type: research

Surgical Treatment for Stand-Alone Atrial Fibrillation in North America
ConclusionsSteady growth of stand-alone SA operations was noted. Procedures performed either on-pump or off-pump were relatively safe. However, intraoperative conversion was associated with significantly higher morbidity and mortality. Patient selection, improvement of surgical techniques, and long-term follow-up should be emphasized to improve decision-making and outcome.
Source: The Annals of Thoracic Surgery - August 19, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Treatment for Stand-Alone Atrial Fibrillation in North America.
CONCLUSIONS: Steady growth of stand-alone SA operations was noted. Procedures performed either on-pump or off-pump were relatively safe. However, intraoperative conversion was associated with significantly higher morbidity and mortality. Patient selection, improvement of surgical techniques, and long-term follow-up should be emphasized to improve decision-making and outcome. PMID: 31430460 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ad N, Holmes SD, Roberts HG, Rankin JS, Badhwar V Tags: Ann Thorac Surg Source Type: research

Patients who develop post-operative atrial fibrillation have reduced survival after off-pump coronary artery bypass grafting
ConclusionThe incidence of POAF was lower than reported in the wider global literature. Increasing age and development of post-operative sepsis were strong independent predictors of POAF. POAF increases the morbidity; length of hospital stay and these patients show decreased survival after off-pump CABG.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - July 18, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term outcomes of stand-alone Maze IV for persistent/long-standing persistent atrial fibrillation
ConclusionsThis study confirmed the safety and efficacy at long-term (7 years) of the stand-alone Maze IV surgical procedure for persistent/long-standing persistent AF. Indeed, more than 70% of the pts were in SR off class I/III AADs and off oral anticoagulation.Graphical abstract
Source: The Annals of Thoracic Surgery - July 18, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term outcomes of stand-alone Maze IV for persistent/long-standing persistent atrial fibrillation.
CONCLUSIONS: This study confirmed the safety and efficacy at long-term (7 years) of the stand-alone Maze IV surgical procedure for persistent/long-standing persistent AF. Indeed, more than 70% of the pts were in SR off class I/III AADs and off oral anticoagulation. PMID: 31325420 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Lapenna E, De Bonis M, Giambuzzi I, Del Forno B, Ruggeri S, Cireddu M, Gulletta S, Castiglioni A, Alfieri O, Della Bella P, Benussi S Tags: Ann Thorac Surg Source Type: research

The Maze Procedure and Left Atrial Enlargement: Just Do It
Surgeons know that untreated atrial fibrillation (AF) leaves their patients at increased risks for stroke, anticoagulant-related hemorrhage and death.1 There is also compelling evidence confirming that surgical ablation of atrial fibrillation (i.e. the Cox-Maze procedure) increases the likelihood of return to sinus rhythm (AF) and is associated with improved short and long-term outcomes.1,2 Nevertheless, surgeons frequently find reasons to omit surgical ablation and, instead, satisfy themselves (and undertreat their patients) by addressing only the primary indication for heart surgery.
Source: Seminars in Thoracic and Cardiovascular Surgery - June 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Marc Gillinov, Edward G. Soltesz Tags: ADULT – Editorial Commentary Source Type: research

Predicting postoperative atrial fibrillation after myocardial revascularization without cardiopulmonary bypass: A retrospective cohort study
ConclusionOff ‐pump coronary artery bypass grafting proved a safe and effective procedure, with low postoperative atrial fibrillation occurrence, for myocardial revascularization. Chronic renal insufficiency and the use of venous‐origin graft solely proved to be independent predictor factors for PAOF.
Source: Journal of Cardiac Surgery - June 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edgar Vidotti, Lisia F. K. Vidotti, Camila A. G. Arruda Tavares, Érica D. Z. Ferraz, Vagner Oliveira, Augusto G. Andrade, Janaina M. B. Cardoso, Márcio H. Cardoso Tags: ORIGINAL ARTICLE Source Type: research

Commentary: Atrial fibrillation after aortic valve replacement: Predict, prevent, protect
When atrial fibrillation (AF) occurs after cardiac surgery, surgeons consider the arrhythmia a nuisance rather than a complication. This reflects natural optimism. Although perioperative AF is most often self-limited, it is associated with increased risk of stroke and death, increased hospital length of stay, and increased health care costs.1 Still, we tend not to worry too much because postoperative AF tends to resolve regardless of treatment strategy.1
Source: The Journal of Thoracic and Cardiovascular Surgery - June 13, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Marc Gillinov, Edward G. Soltesz Tags: Commentary Source Type: research

Commentary: Nuisance or nemesis? Postoperative atrial fibrillation increases long-term mortality regardless of sex
Postoperative atrial fibrillation (POAF) complicates approximately 30% of coronary artery bypass grafting (CABG) procedures.1 POAF has been associated with perioperative adverse outcomes including stroke, reoperation for bleeding, myocardial infarction, and pacemaker use.1,2 Patients with POAF are known to have a significantly increased risk of mortality in short-term, midterm, and long-term follow-up. POAF also lengthens hospital stay by 3 to 5  days and increases hospitalization cost from $10,000 to $20,000 per patient.
Source: The Journal of Thoracic and Cardiovascular Surgery - June 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Malak Elbatarny, Derrick Y. Tam, Stephen E. Fremes Tags: Commentary Source Type: research

Commentary: Postoperative atrial fibrillation can last years? Oh snap!
Despite improvements in perioperative and operative care, postoperative atrial fibrillation (POAF) is still found in approximately 15% to 60% of cardiac surgical patients.1 The potential clinical impact on patients is dependent on mainly their clinical status and can include heart failure, acute renal failure, stroke or thromboembolism, anticoagulation-related complications, and even death. This is particularly true because a significant proportion of patients with aortic stenosis have diastolic dysfunction and rely on the atrial contraction to maintain adequate cardiac output.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bobby Yanagawa, Niv Ad, Mario F. Gaudino Tags: Commentary Source Type: research

Ministernotomy or sternotomy in isolated aortic valve replacement? Early results.
Conclusions: Ministernotomy for AVR is a safe method and does not increase morbidity and mortality. It significantly reduces post-operative blood loss and shortens hospital stay. Ministernotomy can be successfully used as an alternative method to sternotomy. PMID: 30647743 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - January 17, 2019 Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research

Mid ‐term outcomes of simultaneous coronary artery bypass graft surgery and septal myectomy in patients with hypertrophic obstructive cardiomyopathy: A case‐controlled study
ConclusionsThe cardiovascular death and cardiovascular events are significantly increased in patients with HOCM and CAD who underwent CABG at the time of septal myectomy.
Source: Journal of Cardiac Surgery - January 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shengwei Wang, Hao Cui, Bing Tang, Changsheng Zhu, Liukun Meng, Qinjun Yu, Xiaohong Huang, Rong Wu, Shuiyun Wang Tags: ORIGINAL ARTICLE Source Type: research

Resection of left atrial appendage aneurysm and full maze procedure as curative management for stroke recurrence
We report a case of LAAA in a 63-year-old woman with stroke. After stabilization of ischemic cerebral stroke, the patient underwent left atrial appendectomy with full maze procedure and tricuspid annuloplasty under cardiac arrest with cardiopulmonary bypasss. She has been living a healthy life without anticoagulants postoperatively. Resection and the full-maze procedure is an efficacious and durable procedure for LAAA with chronic atrial fibrillation.
Source: General Thoracic and Cardiovascular Surgery - December 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research