{"id":"https://openalex.org/W7224130792","doi":"https://doi.org/10.3389/fcvm.2026.1966704","title":"Standardized 4-step surgical approach to address atrial fibrillation during coronary artery bypass grafting in a patient with severely reduced left ventricular function: a case report","display_name":"Standardized 4-step surgical approach to address atrial fibrillation during coronary artery bypass grafting in a patient with severely reduced left ventricular function: a case report","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224130792","doi":"https://doi.org/10.3389/fcvm.2026.1966704"},"language":"en","primary_location":{"id":"doi:10.3389/fcvm.2026.1966704","doi":"https://doi.org/10.3389/fcvm.2026.1966704","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcvm.2026.1966704","pdf_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1966704/pdf","source":{"id":"https://openalex.org/S2595413687","display_name":"Frontiers in Cardiovascular Medicine","issn_l":"2297-055X","issn":["2297-055X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cardiovascular Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1966704/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077472909","display_name":"Johannes G\u00f6kler","orcid":"https://orcid.org/0000-0003-4509-2482","observed_orcids":["https://orcid.org/0000-0003-4509-2482"]},"institutions":[{"id":"https://openalex.org/I121883995","display_name":"Johannes Kepler University of Linz","ror":"https://ror.org/052r2xn60","country_code":"AT","type":"education","lineage":["https://openalex.org/I121883995"]},{"id":"https://openalex.org/I4210119171","display_name":"Kepler Universit\u00e4tsklinikum","ror":"https://ror.org/02h3bfj85","country_code":"AT","type":"funder","lineage":["https://openalex.org/I4210119171"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Johannes G\u00f6kler","raw_affiliation_strings":["Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital","institution_ids":["https://openalex.org/I121883995","https://openalex.org/I4210119171"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064625482","display_name":"Philipp Szalkiewicz","orcid":"https://orcid.org/0000-0002-9690-6266","observed_orcids":["https://orcid.org/0000-0002-9690-6266"]},"institutions":[{"id":"https://openalex.org/I121883995","display_name":"Johannes Kepler University of Linz","ror":"https://ror.org/052r2xn60","country_code":"AT","type":"education","lineage":["https://openalex.org/I121883995"]},{"id":"https://openalex.org/I4210119171","display_name":"Kepler Universit\u00e4tsklinikum","ror":"https://ror.org/02h3bfj85","country_code":"AT","type":"funder","lineage":["https://openalex.org/I4210119171"]}],"countries":["AT"],"is_corresponding":true,"raw_author_name":"Philipp Szalkiewicz","raw_affiliation_strings":["Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital","institution_ids":["https://openalex.org/I121883995","https://openalex.org/I4210119171"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007240343","display_name":"Ilinca Damian","orcid":"https://orcid.org/0000-0002-2190-1567","observed_orcids":["https://orcid.org/0000-0002-2190-1567"]},"institutions":[{"id":"https://openalex.org/I121883995","display_name":"Johannes Kepler University of Linz","ror":"https://ror.org/052r2xn60","country_code":"AT","type":"education","lineage":["https://openalex.org/I121883995"]},{"id":"https://openalex.org/I4210119171","display_name":"Kepler Universit\u00e4tsklinikum","ror":"https://ror.org/02h3bfj85","country_code":"AT","type":"funder","lineage":["https://openalex.org/I4210119171"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Ilinca Damian","raw_affiliation_strings":["Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital","institution_ids":["https://openalex.org/I121883995","https://openalex.org/I4210119171"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159998249","display_name":"Jacqueline Illek","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121883995","display_name":"Johannes Kepler University of Linz","ror":"https://ror.org/052r2xn60","country_code":"AT","type":"education","lineage":["https://openalex.org/I121883995"]},{"id":"https://openalex.org/I4210119171","display_name":"Kepler Universit\u00e4tsklinikum","ror":"https://ror.org/02h3bfj85","country_code":"AT","type":"funder","lineage":["https://openalex.org/I4210119171"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Jacqueline Illek","raw_affiliation_strings":["Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital","institution_ids":["https://openalex.org/I121883995","https://openalex.org/I4210119171"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063693187","display_name":"Gregor Sulzbacher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121883995","display_name":"Johannes Kepler University of Linz","ror":"https://ror.org/052r2xn60","country_code":"AT","type":"education","lineage":["https://openalex.org/I121883995"]},{"id":"https://openalex.org/I4210119171","display_name":"Kepler Universit\u00e4tsklinikum","ror":"https://ror.org/02h3bfj85","country_code":"AT","type":"funder","lineage":["https://openalex.org/I4210119171"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Gregor Sulzbacher","raw_affiliation_strings":["Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital","institution_ids":["https://openalex.org/I121883995","https://openalex.org/I4210119171"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089687495","display_name":"Andreas F. Zierer","orcid":"https://orcid.org/0000-0002-9842-587X","observed_orcids":["https://orcid.org/0000-0002-9842-587X"]},"institutions":[{"id":"https://openalex.org/I121883995","display_name":"Johannes Kepler University of Linz","ror":"https://ror.org/052r2xn60","country_code":"AT","type":"education","lineage":["https://openalex.org/I121883995"]},{"id":"https://openalex.org/I4210119171","display_name":"Kepler Universit\u00e4tsklinikum","ror":"https://ror.org/02h3bfj85","country_code":"AT","type":"funder","lineage":["https://openalex.org/I4210119171"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Andreas Zierer","raw_affiliation_strings":["Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac, Vascular and Thoracic Surgery, Johannes Kepler University Linz, Kepler University Hospital","institution_ids":["https://openalex.org/I121883995","https://openalex.org/I4210119171"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5064625482"],"corresponding_institution_ids":["https://openalex.org/I121883995","https://openalex.org/I4210119171"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88173595,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.9990000128746033},{"id":"https://openalex.org/keywords/coronary-artery-bypass-grafting","display_name":"coronary artery bypass grafting","score":0.9929999709129333},{"id":"https://openalex.org/keywords/left-ventricular-dysfunction","display_name":"left ventricular dysfunction","score":0.8209999799728394},{"id":"https://openalex.org/keywords/maintenance-of-sinus-rhythm","display_name":"sinus rhythm maintenance","score":0.7620000243186951},{"id":"https://openalex.org/keywords/bipolar-radiofrequency-ablation","display_name":"bipolar radiofrequency ablation","score":0.8619999885559082},{"id":"https://openalex.org/keywords/left-atrial-appendage-exclusion","display_name":"left atrial appendage exclusion","score":0.9890000224113464},{"id":"https://openalex.org/keywords/posterior-pericardiotomy","display_name":"posterior pericardiotomy","score":0.9430000185966492},{"id":"https://openalex.org/keywords/three-vessel-coronary-artery-disease","display_name":"three-vessel coronary artery disease","score":0.8330000042915344},{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":0.824999988079071},{"id":"https://openalex.org/keywords/electrical-cardioversion","display_name":"electrical cardioversion","score":0.5669999718666077},{"id":"https://openalex.org/keywords/weaning-from-cardiopulmonary-bypass","display_name":"cardiopulmonary bypass weaning","score":0.777999997138977}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9369000196456909},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7989000082015991},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7681999802589417},{"id":"https://openalex.org/C2775914520","wikidata":"https://www.wikidata.org/wiki/Q12335414","display_name":"Sinus rhythm","level":3,"score":0.6245999932289124},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.5903000235557556},{"id":"https://openalex.org/C2778881276","wikidata":"https://www.wikidata.org/wiki/Q552304","display_name":"Cardiopulmonary bypass","level":2,"score":0.5260000228881836},{"id":"https://openalex.org/C2777289489","wikidata":"https://www.wikidata.org/wiki/Q1729126","display_name":"Cardioversion","level":3,"score":0.4562999904155731},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.45329999923706055},{"id":"https://openalex.org/C2778259205","wikidata":"https://www.wikidata.org/wiki/Q629460","display_name":"Coronary sinus","level":2,"score":0.45190000534057617},{"id":"https://openalex.org/C2781005686","wikidata":"https://www.wikidata.org/wiki/Q848662","display_name":"Ventricular fibrillation","level":2,"score":0.4212000072002411},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.4056999981403351},{"id":"https://openalex.org/C2777055891","wikidata":"https://www.wikidata.org/wiki/Q185325","display_name":"Cardiopulmonary resuscitation","level":3,"score":0.3978999853134155},{"id":"https://openalex.org/C2779464278","wikidata":"https://www.wikidata.org/wiki/Q7317735","display_name":"Revascularization","level":3,"score":0.38429999351501465},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.3833000063896179},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.34119999408721924},{"id":"https://openalex.org/C2775901492","wikidata":"https://www.wikidata.org/wiki/Q186020","display_name":"Coronary artery bypass surgery","level":3,"score":0.33059999346733093},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.30059999227523804},{"id":"https://openalex.org/C3017915907","wikidata":"https://www.wikidata.org/wiki/Q186020","display_name":"Bypass grafting","level":3,"score":0.2939999997615814},{"id":"https://openalex.org/C2909457131","wikidata":"https://www.wikidata.org/wiki/Q1729126","display_name":"Electrical cardioversion","level":4,"score":0.2919999957084656},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.27900001406669617},{"id":"https://openalex.org/C31861589","wikidata":"https://www.wikidata.org/wiki/Q618068","display_name":"Cardiac index","level":4,"score":0.25690001249313354}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fcvm.2026.1966704","doi":"https://doi.org/10.3389/fcvm.2026.1966704","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcvm.2026.1966704","pdf_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1966704/pdf","source":{"id":"https://openalex.org/S2595413687","display_name":"Frontiers in Cardiovascular Medicine","issn_l":"2297-055X","issn":["2297-055X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cardiovascular Medicine","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:b7fce44524594bfab3b95e3b698a6191","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/b7fce44524594bfab3b95e3b698a6191","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Cardiovascular Medicine, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fcvm.2026.1966704","doi":"https://doi.org/10.3389/fcvm.2026.1966704","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcvm.2026.1966704","pdf_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1966704/pdf","source":{"id":"https://openalex.org/S2595413687","display_name":"Frontiers in Cardiovascular Medicine","issn_l":"2297-055X","issn":["2297-055X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cardiovascular Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224130792.pdf","grobid_xml":"https://content.openalex.org/works/W7224130792.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2089436606","https://openalex.org/W2114267439","https://openalex.org/W3161524032","https://openalex.org/W4312173598","https://openalex.org/W4402049769","https://openalex.org/W4402964848","https://openalex.org/W4408487541","https://openalex.org/W4410976168","https://openalex.org/W4412954394","https://openalex.org/W4416261173","https://openalex.org/W4416665113","https://openalex.org/W4417033284","https://openalex.org/W7133122362"],"related_works":["https://openalex.org/W2603028860","https://openalex.org/W1987932791","https://openalex.org/W2076705520","https://openalex.org/W4395115213","https://openalex.org/W2080026425","https://openalex.org/W4406732009","https://openalex.org/W2398662512","https://openalex.org/W2052406399","https://openalex.org/W4403084410","https://openalex.org/W2085825137"],"abstract_inverted_index":{"Atrial":[0],"fibrillation":[1],"(AF)":[2],"may":[3,196],"result":[4],"in":[5,12,32,156,183],"haemodynamic":[6,198],"deterioration":[7],"and":[8,95,144,158],"is":[9],"particularly":[10],"detrimental":[11],"patients":[13,185],"with":[14,186],"severely":[15,187],"impaired":[16],"left":[17,83,135],"ventricular":[18,84,189],"function.":[19,85],"In":[20,109],"this":[21],"high-risk":[22,184],"population,":[23],"the":[24,40,54,105,134,140,173],"maintenance":[25,192],"or":[26],"restoration":[27],"of":[28,36,42,56,91,133,139,142,175,193],"sinus":[29,194],"rhythm":[30,195],"(SR)":[31],"cardiac":[33,180],"surgery":[34],"are":[35],"paramount":[37],"importance,":[38],"warranting":[39],"use":[41],"all":[43],"available":[44],"surgical":[45,112],"strategies":[46],"to":[47,101,111],"comprehensively":[48],"address":[49],"atrial":[50,136],"fibrillation.":[51],"We":[52],"report":[53],"case":[55,171],"a":[57,89,118],"60-year-old":[58],"man":[59],"who":[60],"underwent":[61],"successful":[62],"out-of-hospital":[63],"cardiopulmonary":[64,154],"resuscitation":[65],"following":[66],"an":[67,163],"acute":[68],"myocardial":[69,107],"infarction.":[70,108],"Coronary":[71],"angiography":[72],"revealed":[73],"severe":[74],"three-vessel":[75],"coronary":[76,113],"artery":[77],"disease,":[78],"accompanied":[79],"by":[80],"highly":[81],"reduced":[82,188],"The":[86,148],"patient":[87,149],"had":[88,96],"history":[90],"symptomatic":[92],"paroxysmal":[93],"AF":[94,122,168,178],"recently":[97],"undergone":[98],"electrical":[99],"cardioversion":[100],"restore":[102],"SR":[103,157,161],"after":[104],"index":[106],"addition":[110],"revascularization":[114],"via":[115],"median":[116],"sternotomy,":[117],"standardized":[119],"four-step":[120],"concomitant":[121],"procedure":[123],"was":[124,150],"performed.":[125],"This":[126,170],"approach":[127],"included":[128],"bipolar":[129],"radiofrequency":[130],"ablation,":[131],"exclusion":[132],"appendage,":[137],"transection":[138],"ligament":[141],"Marshall,":[143],"left-sided":[145],"posterior":[146],"pericardiotomy.":[147],"successfully":[151],"weaned":[152],"from":[153],"bypass":[155],"maintained":[159],"stable":[160],"throughout":[162],"8-month":[164],"follow-up":[165],"period":[166],"without":[167],"recurrence.":[169],"highlights":[172],"importance":[174],"systematically":[176],"addressing":[177],"during":[179],"surgery,":[181],"especially":[182],"function,":[190],"where":[191],"have":[197],"benefits.":[199]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-29T00:00:00"}