17. In patients with AF, we suggest that closure (excision or obliteration) of the LAA should be considered as part of the surgical ablation of AF associated with mitral, aortic valve, or CABG surgery if this does not increase the risk of the surgery (Conditional Recommendation, Low-Quality Evidence).

Values and preferences. This recommendation places a high value on the potential for stroke reduction and a lower value on loss of atrial transport function with LAA closure. It places less value on the need to continue OAC therapy even after LAA surgical excision.