Abstract
Purpose Concomitant surgical AF ablation is a safe and feasible procedure. However many surgeons are restrictive in performing AF ablation in patients with poor LVEF. Aim of this study was to investigate the influence of surgical AF ablation in patients with severely reduced LVEF ( Methods and Materials Between 07/2003 and 08/2011 59 patients with severely reduced LVEF( Results Mean patient’s age was 68.4 +/- 9.0 years, 71.1 % were male. No major ablation related adverse events occurred. In-hospital mortality was 1.6%, one-year survival rate 93.3%. Overall sinus rhythm rate after one-year follow-up was 54.2 %, showing statistically higher rate of sinusrhythm in patients with preoperative paroxysmal AF (70.4 vs.40.7%, p Conclusions Concomitant surgical AF ablation in patients with severely reduced EF was safe and feasible without adding operative risk. Restoration of sinusrhythm lead to statistically significant higher rate of LVEF improvement. Due to potential long-term benefits of restoration of sinusrhythm, concomitant surgical ablation is worthwhile to be considered even in this surgical high risk population.
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