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is simply tied down and checked for bleeding. The rest of the operation is then performed in the normal fashion. In our experience, the Berglin apical stitch is a very simple and ingenious trick of the trade to create a smooth surface in the posterior LA that facilitates performing safe transmural ablation lesions in this area. This may in turn increase the antiarrhythmic efficiency of the procedure. We have found no adverse effects with this technique and recommend its use in concomitant atrial fibrillation ablation.

eComment. The Berglin apical stitch: a simple technique to straighten things out in atrial fibrillation surgery?