This literature review discusses the results of recent clinical studies and large meta-analyses on surgical isolation of the left atrial appendage in patients undergoing coronary artery bypass grafting. The article also discusses the general morphological and pathogenetic mechanisms of the formation of left atrial appendage thrombosis and analyzes the current evidence in favor of the need to close the appendage during coronary artery bypass surgery in the light of the prevention of ischemic thromboembolic events.

Mikhail Saevets is an experienced cardiac surgeon who has been practicing since 2010. He is currently based at the Federal Center of Cardiac Surgery in Chelyabinsk, where he specializes in both on-pump and off-pump cardiac procedures, including minimally invasive surgeries. With a commitment to advancing cardiac surgical techniques, he has contributed significantly to improving patient outcomes through innovative and precision-driven surgical approaches. His expertise spans a wide range of complex cardiovascular interventions, making him a distinguished professional in the field of cardiac surgery.