Abstract：
Atrial fibrillation (AF) is the most prevalent arrhythmia and is often found during times of other cardiac pathologies that require surgical management including coronary revascularization and valve surgery. Surgical ablation of AF, most frequently performed through the Cox-Maze IV procedure, is highly effective in restoring sinus rhythm. Despite robust society guideline recommendations for concomitant surgical ablation (CSA) for AF, the practice has yet to be widely adopted. In this review, we discuss the current indications for CSA, its efficacy in maintaining freedom from atrial tachyarrhythmias, stroke, and adverse long-term outcomes, the safety profile of SA when performed alongside cardiac surgical cases, and challenges with its implementation across the most common concomitant cardiac operations. In conclusion, we present a reminder to multidisciplinary heart teams to consider CSA when indicated for their patients.
摘要：
心房颤动（AF）是最普遍的心律失常，通常在其他需要手术治疗的心脏病期间发现，包括冠状动脉血运重建和瓣膜手术。AF手术消融术,最常见的是通过Cox-MazeIV程序进行，对恢复窦性心律非常有效。尽管对于房颤的伴随手术消融术(CSA)提出了强有力的社会指南建议,这种做法尚未得到广泛采用。在这次审查中,我们讨论CSA的当前适应症，它在保持远离房性快速性心律失常方面的功效，中风,和不利的长期结果，与心脏手术病例一起进行时，SA的安全性，以及在最常见的伴随心脏手术中实施的挑战。总之,我们提醒多学科心脏研究小组,在患者需要时考虑CSA.
