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Unlike most earlier trials, our trial verified conduction block at the pulmonary-vein level, when feasible, in individuals undergoing either type of ablation procedure. This confirmation may have contributed to the good results in those undergoing pulmonary-vein isolation relatively. Atrial fibrillation, which is common amongst patients undergoing mitral-valve surgery, is a risk factor for death and illness.1,2,7-10 These observations claim that ablation of atrial fibrillation at the time of surgery may improve long-term outcomes. However, at 12 months, the increased price of freedom from atrial fibrillation in the ablation group in our trial was not associated with a decrease in the rate of major cardiac or cerebrovascular adverse occasions generally or stroke specifically.