{"id":5595,"date":"2026-06-05T12:46:58","date_gmt":"2026-06-05T10:46:58","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5595"},"modified":"2026-06-05T13:17:59","modified_gmt":"2026-06-05T11:17:59","slug":"cvja-2026-011","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2026-011\/","title":{"rendered":"The early-term effects of the minimally invasive extracorporeal circulation on atrial fibrillation development in patients who underwent coronary artery bypass grafting"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nSeyhan Y\u0131lmaz, Ertan Ayd\u0131n, Bilge Olgun Kele\u015f\r\n<\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                    \r\n\r\n        <strong>Objective:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nThe minimised extracorporeal circulation (MiECC) system is an alternative to the classical extracorporeal circulation (ECC) system in coronary artery bypass grafting (CABG) surgery. Some publications reported that there are few studies on the relationship between this application and the development of postoperative atrial fibrillation (POAF) and that differences in results were observed. We aimed to evaluate the possible relationship between the use of MiECC and the development of early atrial fibrillation (AF) in isolated on-pump CABG patients.\r\n<br \/>    \r\n\r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nThis study was conducted in patients who underwent isolated on-pump CABG surgery. Patients with known preoperative AF were not included in the study. Patients were examined in Group 1: classical ECC group and Group 2: MiECC group.\r\n<br \/>\r\n                \r\n                <strong>Results:<\/strong>                                                                                                    \r\nThe mean age of a total of 38 patients included in the study was found to be 62.03 \u00b1 9.58. The AF development was found to be 0.13 \u00b1 0.34. Group 1 and Group 2 groups did not differ with respect to aortic cross-clamp time, cardiopulmonary bypass (CPB) duration and the number of distal anastomoses (p value was 0.809, 0.473, and 0.116, respectively). No statistically significant difference was found between the two groups in terms of postoperative AF development (p = 0.337).\r\n<br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusions:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nAccording to our evaluation based on the results of our study, we conclude that MiECC usage in isolated on-pump CABG does not independently reduce the incidence of postoperative AF. Since existing literature presents divergent findings, we believe that studies focusing on the development of POAF and including more patients would be useful.\r\n<br \/>    \r\n                                                                                                        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>coronary artery bypass surgery, minimally invasive, cardiopulmonary bypass, atrial fibrillation<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> May 19, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> January 30, 2026; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> June 5, 2026<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>37<\/b>: 203-207<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 37, Issue 2<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2026-011<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n\r\n\r\n<strong>Giresun University Faculty of Medicine, Department of Cardiovascular Surgery, Giresun, Turkey\r\n\r\n<\/strong>    <br \/>                                                                            \r\nSeyhan Y\u0131lmaz\r\n\r\n<br \/><br \/>   \r\n\r\n<strong>Giresun University Faculty of Medicine, Department of Cardiology, Giresun, Turkey\r\n\r\n<\/strong>    <br \/>                                                                            \r\nErtan Ayd\u0131n\r\n\r\n<br \/><br \/>   \r\n\r\n<strong>Giresun University Faculty of Medicine, Department of Anesthesiology, Giresun, Turkey\r\n\r\n<\/strong>    <br \/>                                                                            \r\nBilge Olgun Kele\u015f\r\n\r\n<br \/><br \/>   \r\n  \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>The minimised extracorporeal circulation (MiECC) system is an alternative to the classical extracorporeal circulation (ECC) system in coronary artery bypass grafting (CABG) surgery. Some publications reported that there are few studies on the relationship between this application and the development of postoperative atrial fibrillation (POAF) and that differences in results were observed. We aimed to evaluate the possible relationship between the use of MiECC and the development of early atrial fibrillation (AF) in isolated on-pump CABG patients.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,110],"tags":[],"class_list":["post-5595","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-37-issue-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The early-term effects of the minimally invasive extracorporeal circulation on atrial fibrillation development in patients who underwent coronary artery bypass grafting - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"The minimised extracorporeal circulation (MiECC) system is an alternative to the classical extracorporeal circulation (ECC) system in coronary artery bypass grafting (CABG) surgery. Some publications reported that there are few studies on the relationship between this application and the development of postoperative atrial fibrillation (POAF) and that differences in results were observed. We aimed to evaluate the possible relationship between the use of MiECC and the development of early atrial fibrillation (AF) in isolated on-pump CABG patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2026-011\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The early-term effects of the minimally invasive extracorporeal circulation on atrial fibrillation development in patients who underwent coronary artery bypass grafting - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"The minimised extracorporeal circulation (MiECC) system is an alternative to the classical extracorporeal circulation (ECC) system in coronary artery bypass grafting (CABG) surgery. Some publications reported that there are few studies on the relationship between this application and the development of postoperative atrial fibrillation (POAF) and that differences in results were observed. We aimed to evaluate the possible relationship between the use of MiECC and the development of early atrial fibrillation (AF) in isolated on-pump CABG patients.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cvja.co.za\/journal\/cvja-2026-011\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiovascular Journal of Africa\" \/>\n<meta property=\"article:published_time\" content=\"2026-06-05T10:46:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-05T11:17:59+00:00\" \/>\n<meta name=\"author\" content=\"Jaco Moolman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jaco Moolman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2026-011\/\",\"url\":\"https:\/\/cvja.co.za\/journal\/cvja-2026-011\/\",\"name\":\"The early-term effects of the minimally invasive extracorporeal circulation on atrial fibrillation development in patients who underwent coronary artery bypass grafting - Cardiovascular Journal of Africa\",\"isPartOf\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#website\"},\"datePublished\":\"2026-06-05T10:46:58+00:00\",\"dateModified\":\"2026-06-05T11:17:59+00:00\",\"author\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920\"},\"description\":\"The minimised extracorporeal circulation (MiECC) system is an alternative to the classical extracorporeal circulation (ECC) system in coronary artery bypass grafting (CABG) surgery. 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