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Kuruvilla et al. Vessel Plus 2022;6:45 Vessel Plus
DOI: 10.20517/2574-1209.2021.122

Review Open Access

A literature review: pre-/post-operative atrial

fibrillation for thoracic aortic aneurysm procedures

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Annet S. Kuruvilla , Sohaib Agha , Ashutosh Yaligar , Henry J. Tannous , Allison J. McLarty , A. Laurie
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Shroyer , Thomas V. Bilfinger 1
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Department of Surgery, Stony Brook University Renaissance School of Medicine, New York, NY 11794-8434, USA.
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Authors contributed equally.
Correspondence to: Prof. Thomas V. Bilfinger, Department of Surgery, Renaissance School of Medicine, Stony Brook University,
HSC T-19 Rm 80, Stony Brook, NY 11794, USA.
How to cite this article: Kuruvilla AS, Agha S, Yaligar A, Tannous HJ, McLarty AJ, Shroyer AL, Bilfinger TV. A literature review:
pre-/post-operative atrial fibrillation for thoracic aortic aneurysm procedures. Vessel Plus 2022;6:45.
https://dx.doi.org/10.20517/2574-1209.2021.122
Received: 13 Sep 2021 First Decision: 8 Feb 2022 Revised: 8 Mar 2022 Accepted: 22 Mar 2022 Published: 1 Aug 2022

Academic Editors: Yajing Wang, Frank W. Sellke Copy Editor: Jia-Xin Zhang Production Editor: Jia-Xin Zhang

Abstract
Atrial fibrillation (AF) is among the most frequent cardiac surgical arrhythmias documented. The global AF
prevalence is estimated at over 33 million cases, with estimates ranging up to 6.1 million cases in the United States.
Among cardiac surgical patients, the risk factors for new-onset post-operative AF (POAF) include Caucasian race
with increased prevalence documented in older men. Due to trends of earlier thoracic aortic aneurysm (TAA)
detection and treatment, it is timely to review the AF association with adverse TAA clinical outcomes. Towards this
goal, a comprehensive PubMed literature review was performed. For this initial Medline literature search, the
MeSH search strategy included “thoracic aortic aneurysm” and “atrial fibrillation”. Based on the pertinent articles
identified, the limited literature available for preoperative TAA AF and the predictors of POAF following TAA
procedures were reviewed. Given only a handful of publications addressing these pre-/post-operative AF topics
were identified using this very broad initial search approach, a knowledge chasm exists–as very little is known
about TAA patients with pre-operative or new-onset post-operative AF. Given the paucity of evidence-based
information available, clinically relevant TAA-specific research questions have been raised to guide future TAA AF-
related investigations.
Keywords: Atrial fibrillation (AF), thoracic aortic aneurysm (TAA), pre-operative, post-operative

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
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