Presented at Update on Atrial Fibrillation 2002, Coburg, Germany, April 13, 2002.
Contemporary Surgical Treatment for Atrial Fibrillation
Article first published online: 30 JUN 2003
Pacing and Clinical Electrophysiology
Volume 26, Issue 7p2, pages 1641–1644, July 2003
How to Cite
GILLINOV, A. M., MCCARTHY, P. M., MARROUCHE, N. and NATALE, A. (2003), Contemporary Surgical Treatment for Atrial Fibrillation. Pacing and Clinical Electrophysiology, 26: 1641–1644. doi: 10.1046/j.1460-9592.2003.t01-1-00245.x
Dr. Gillinov is a consultant for AFx, Inc.
- Issue published online: 30 JUN 2003
- Article first published online: 30 JUN 2003
- Maze procedure;
- atrial fibrillation;
Traditional surgical treatment of AF is the Cox-Maze III procedure. The Cox-Maze III procedure cures AF in >90% of patients and virtually eliminates the risk of stroke. Recent understanding of the importance of the pulmonary veins and left atrium in the pathogenesis of AF has resulted in the development of new surgical approaches. New operations to ablate AF use alternate energy sources (radiofrequency, microwave, cryothermy) and simplified left atrial lesion sets. These operations cure AF in 70–80% of patients. This article describes contemporary and emerging surgical approaches to AF, synthesizes results of these operations, and proposes a strategy for choice of operation based on patient presentation. (PACE 2003; 26[Pt. II]:1641–1644)