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To the Editor:The occurrence of atrial fibrillation (AF) after coronary bypass graft surgery is elevated and is the cause of perioperative complications as well as increased costs. Recently, we have demonstrated1 that the occurrence of AF is not confined to the postoperative period and that 6 months after surgery, AF is still present in 39% of the patients who develop postoperative supraventricular arrhythmias.It has been reported that ischemic injury of the atrium promotes AF, although the underlying mechanism remains unclear. In the September 26, 2000, issue of Circulation , Ascione and co-workers2 reported that the incidence of AF after coronary revascularization was significantly decreased, from 45% in patients operated on under cardiopulmonary bypass (CPB) to only 11% …

Is Cardiopulmonary Bypass Really the Cause of Postoperative Atrial Fibrillation?