Key result
Surgical ablation during mitral valve surgery significantly increased the rate of sinus rhythm at discharge and >1 year follow-up compared to no ablation, without increasing mortality or stroke.
Why the study?
Does surgical ablation improve sinus rhythm and clinical outcomes in patients with atrial fibrillation undergoing mitral valve surgery?
Population
Patients with atrial fibrillation (AF) undergoing mitral valve surgery (9 RCTs)
Comparison
Surgical ablation vs No ablative treatment
Design
Meta-analysis
Follow-up
>1 year
Authors
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Supports adding surgical ablation to mitral valve surgery in AF; confirms sustained sinus rhythm benefit without mortality or stroke increase.
Meta-Analysis
Does surgical ablation improve sinus rhythm and clinical outcomes in patients with atrial fibrillation undergoing mitral valve surgery?
Surgical ablation during mitral valve surgery significantly increases the rate of sinus rhythm restoration without increasing perioperative or long-term complications.
Phan et al. (2014) conducted a meta-analysis in Atrial fibrillation undergoing mitral valve surgery. Surgical ablation vs. No ablation was evaluated on Sinus rhythm at discharge and follow-up. Surgical ablation during mitral valve surgery significantly increased the rate of sinus rhythm at discharge and >1 year follow-up compared to no ablation, without increasing mortality or stroke.
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