Preservation of the anterior fat pad paradoxically decreases the incidence of postoperative atrial fibrillation in humans

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Preservation of the anterior fat pad paradoxically decreases the incidence of postoperative atrial fibrillation in humans.

OBJECTIVES The goal of this study was to determine if parasympathetic nerves in the anterior fat pad (FP) can be stimulated at the time of coronary artery bypass surgery (CABG), and if dissection of this FP decreases the incidence of postoperative atrial fibrillation (AF). BACKGROUND The human anterior epicardial FP contains parasympathetic ganglia and is often dissected during CABG. Changes ...

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Influence of anterior periaortic fat pad excision on incidence of postoperative atrial fibrillation.

OBJECTIVE In humans, the existence of an anterior periaortic fat pad (AFP) containing parasympathetic ganglia has been described in the aortopulmonary window. Changes in the autonomic nervous system (ANS) tone can lead to postoperative atrial fibrillation (POAF). The AFP is usually removed during coronary bypass grafting (CABG) to fully expose the aortic root. The purpose of this study was to e...

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Retaining the aortic fat pad during cardiac surgery decreases postoperative atrial fibrillation.

BACKGROUND Atrial arrhythmias are a common and serious complication of cardiac surgical procedures. Reports describing pericardiac neurogenic tissue led us to hypothesize that removal of the aortic fat pad could cause an autonomic imbalance and contribute to atrial arrhythmias following cardiac surgery. METHODS Patients (n=131) underwent either conventional cardiopulmonary bypass surgery (CPB...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2004

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2003.07.055