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To Ablate, or Not to Ablate? How Will You Answer the Question?

To Ablate, or Not to Ablate? How Will You Answer the Question?

 

Mrs Smith, 62 years old, is referred for mitral valve replacement (MVR) as a result of long-standing severe mitral regurgitation (MR), now with ventricular dilation. She has had AF for 3 years and has severe left atrial enlargement as seen on transthoracic echocardiogram.

Should surgical ablation for her AF be recommneded during her upcoming MVR procedure?

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