%0 Journal Article
%T Illustrated techniques for performing the Cox-Maze IV procedure through a right mini-thoracotomy.
%A Robertson JO
%A Saint LL
%A Leidenfrost JE
%A Damiano RJ
%J Ann Cardiothorac Surg
%V 3
%N 1
%D Jan 2014
%M 24516807
%F 4.617
%R 10.3978/j.issn.2225-319X.2013.12.11
%X 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.