Tratamiento quirúrgico de la fibrilación auricular. ¿Dónde estamos?

Surgery of the atrial fibrillation has greatly advanced in the last decade, being nowadays common its surgical treatment. Intraoperative ablation with new forms of energy and surgical devices, to facilitate transmural thermal injuries like atriotomies have been an important part of the progress. Nevertheless, there are a number of issues that need clarification like the long-term efficiency of the procedures, the incidence of stroke, postsurgical atrial contraction, recurrence of the arrhythmia, morbi-mortality of the procedure, pattern of lesions and sources of energy.