Related Experiment Video

Updated: Jun 18, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

Postoperative atrial fibrillation is associated with late mortality after coronary surgery, but not after valvular

Giovanni Mariscalco1, Karl Gunnar Engström

  • 1Department of Surgical Sciences, Cardiac Surgery Unit, Varese University Hospital, Varese, Italy. giovannimariscalco@yahoo.it

The Annals of Thoracic Surgery
|November 26, 2009
PubMed

Insights

Postoperative atrial fibrillation (AF) increases late mortality after isolated coronary artery bypass graft (CABG) surgery. AF did not significantly impact survival after valvular procedures, highlighting the need for strict postoperative surveillance.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Clinical Outcomes

Background:

  • Atrial fibrillation (AF) is a common complication after cardiac surgery.
  • Limited data exist on the association between postoperative AF and long-term mortality.
  • The impact of AF on survival after different types of cardiac surgery requires further investigation.

Purpose of the Study:

  • To investigate the association between postoperative atrial fibrillation (AF) and late mortality after cardiac surgery.
  • To determine if AF following coronary artery bypass graft (CABG) surgery affects long-term survival.
  • To assess the impact of AF on survival after valvular surgery and combined procedures.

Main Methods:

  • A retrospective study of 9,495 cardiac surgery patients (1994-2004).
  • Patients undergoing coronary artery bypass graft (CABG), valvular surgery, or combined procedures were analyzed.
  • Long-term survival data were obtained from the Swedish population registry and analyzed using Cox proportional hazards models.

Main Results:

  • Overall AF incidence was 26.7%, with higher rates in valvular and combined procedures.
  • Postoperative AF was independently associated with increased long-term mortality in CABG patients (HR 1.22).
  • AF was not significantly associated with long-term survival after isolated or combined valvular surgery.

Conclusions:

  • Postoperative AF increases late mortality exclusively after isolated CABG surgery.
  • The association between AF and late mortality was not statistically confirmed for valvular procedures.
  • Findings suggest potential AF recurrence post-discharge, necessitating vigilant postoperative monitoring.
Abstract

More Related Videos

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...