{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T14:59:01Z","timestamp":1767797941450,"version":"3.49.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Atrial fibrillation is associated with an increased risk of embolic strokes and is present in about one-fourth of all patients undergoing cardiac surgery. Closure of the left atrial appendage (LAA) can effectively reduce the risk of neurological events and is now a class IB recommendation in the most recent ESC\/EACTS AF guidelines. The working group \u201cHeart Rhythm Disorders\u201d of the German Society for Thoracic and Cardiovascular Surgery (DGTHG) evaluates the current state of clinical research and recommends concomitant LAA closure in patients with preoperative atrial fibrillation as a routine part of heart surgeries.<\/jats:p>","DOI":"10.1055\/a-2561-8547","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T19:11:31Z","timestamp":1744744291000},"page":"055-058","source":"Crossref","is-referenced-by-count":0,"title":["Concomitant LAA Closure during Cardiac Surgery-Update 2025"],"prefix":"10.1055","volume":"74","author":[{"given":"S\u00f6ren","family":"Schenk","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Sana Herzzentrum Cottbus, Herzchirurgie, Cottbus, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8747-166X","authenticated-orcid":false,"given":"Simon","family":"Pecha","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Universit\u00e4res Herz- und Gef\u00e4\u00dfzentrum Hamburg, Klinik f\u00fcr Herz- und Gef\u00e4\u00dfchirurgie, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Doll","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Sch\u00fcchtermann-Klinik, Abteilung f\u00fcr Herzchirurgie, Bad Rothenfelde, Niedersachse, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heiko","family":"Burger","sequence":"additional","affiliation":[{"name":"Herzzentrum Kerckhoff-Klinik, Abteilung f\u00fcr Herzchirurgie, Bad Nauheim, Hessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Knaut","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Klinik f\u00fcr Herzchirurgie, Herzzentrum Dresden Universit\u00e4tsklinik an der Technischen Universit\u00e4t, Dresden, Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1161\/CIRCULATIONAHA.113.005119","article-title":"Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study","volume":"129","author":"S S Chugh","year":"2014","journal-title":"Circulation"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1093\/eurheartj\/ehaa612","article-title":"2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC","volume":"42","author":"G Hindricks","year":"2021","journal-title":"Eur Heart J"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"2245","DOI":"10.1016\/j.jtcvs.2019.06.062","article-title":"Prevalence of atrial fibrillation before cardiac surgery and factors associated with concomitant ablation","volume":"159","author":"P M McCarthy","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"2N","DOI":"10.1016\/S0002-9149(98)00583-9","article-title":"Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates","volume":"82","author":"W B Kannel","year":"1998","journal-title":"Am J Cardiol"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1161\/01.STR.32.2.392","article-title":"Characteristics, outcome, and care of stroke associated with atrial fibrillation in Europe: data from a multicenter multinational hospital-based registry (The European Community Stroke Project)","volume":"32","author":"M Lamassa","year":"2001","journal-title":"Stroke"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/0003-4975(95)00887-X","article-title":"Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation","volume":"61","author":"J L Blackshear","year":"1996","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1016\/S1010-7940(00)00419-X","article-title":"The left atrial appendage: our most lethal human attachment! 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