关键词: Atrial fibrillation (AF) Cox-Maze IV right mini-thoracotomy

来  源:   DOI:10.3978/j.issn.2225-319X.2013.12.11

Abstract:
The Cox-Maze IV procedure has replaced the \"cut-and-sew\" technique of the original Cox-Maze operation with lines of ablation created using bipolar radiofrequency (RF) and cryothermal energy devices. In select patients, this procedure can be performed through a right mini-thoracotomy. This illustrated review is the first to detail the complete steps of the Cox-Maze IV procedure performed through a right mini-thoracotomy with careful attention paid to operative anatomy and advice. Pre- and post-operative management and outcomes are also discussed. This should be a practical guide for the practicing cardiac surgeon.
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