Surgical Management of Atrial Fibrillation

Author: Dawn S. Hui, MD
Institution: UT Health San Antonio
Date Reviewed: 2023
Learning Domain: Adult Cardiac Surgery
Learning Objective: Atrial Fibrillation
PowerPoint File: Surgical Management of Atrial Fibrillation

Discussion Points: Concomitant Maze

• Assessment and Patient Counseling
  • Risks/Benefits of Surgical Ablation
  • Likelihood of Success – What factors impact this?
• Surgical Technique
• Lesion sets
  • If concomitant mitral intervention
  • If concomitant CABG or AVR only
• Ablation sources and technique
• Management of Left Atrial Appendage
• Role for atrial reduction plasty?

Postoperative Management

• Anti-arrhythmic and anticoagulation agents
• Management of immediate postoperative atrial fibrillation, atrial flutter, bradycardia
• Rhythm monitoring timepoints
• Management of late atrial fibrillation