Small incision during heart surgery may prevent dangerous Post-Op heart rhythm problem
NCT ID NCT07266935
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether making a small cut in the sac around the heart (posterior pericardiotomy) during open-heart surgery can prevent a common complication called atrial fibrillation. 210 adults having elective heart surgery in Yemen were randomly assigned to receive either the extra incision or standard care. The main goal was to see if fewer people in the incision group developed atrial fibrillation before leaving the hospital.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Posterior pericardiotomy (a small incision made in the sac around the heart during open-heart surgery)
- What this could lead to
- If it works, this simple procedure could become a standard addition to heart surgery to prevent a common and serious complication.
- What could go wrong
- This is a single-center study in Yemen, so results may not apply to all populations. The procedure also carries a small risk of bleeding or other surgical complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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210 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Jun 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years. * Elective open-heart surgery: Coronary artery bypass grafting (CABG) Aortic valve replacement Ascending aortic surgery Combined procedures (e.g., CABG + valve replacement) Exclusion Criteria: * Previous cardiac or thoracic surgery * Left-sided pleural adhesions * Preoperative atrial fibrillation or other rhythm disorders * Hyperthyroidism * Renal failure with plasma creatinine \>2.0 mg/dL * Off-pump CABG * Mitral or tricuspid valve surgery (excluded due to distinct pathophysiology and POAF risk) * Refusal to participate
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cardiovascular & Kidney Transplantation Centre, Taiz University, Taiz, Yemen
Taiz, Muḩāfaz̧at Ta‘izz, Yemen
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