| COR | LOE | RECOMMENDATIONS |
|---|---|---|
| 1 | A | 1. In patients with AF undergoing cardiac surgery with a CHA2DS2-VASc score ≥2 or equivalent stroke risk, surgical LAA exclusion, in addition to continued anticoagulation, is indicated to reduce the risk of stroke and systemic embolism.1-3 |
| 1 | A | 2. In patients with AF undergoing cardiac surgery and LAA exclusion, a surgical technique resulting in absence of flow across the suture line and a stump of <1 cm as determined by intraoperative transesophageal echocardiography should be used.1,4,5 |
| 2b | A | 3. In patients with AF undergoing cardiac surgery with CHA2DS2-VASc score ≥2 or equivalent stroke risk, the benefit of surgical LAA exclusion in the absence of continued anticoagulation to reduce the risk of stroke and systemic embolism is uncertain.1-3 |
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