TY - JOUR
T1 - Modification of the maze procedure for atrial flutter and atrial fibrillation. I. Rationale and surgical results
AU - Cox, James L.
AU - Boineau, John P.
AU - Schuessler, Richard B.
AU - Jaquiss, Robert D.B.
AU - Lappas, Demetrios G.
N1 - Funding Information:
Supported by National Institutes of Health grant Nos. RO1 HL32257 and RO1 HL33722.
PY - 1995/8
Y1 - 1995/8
N2 - The original maze procedure that was described for the treatment of patients with atrial fibrillation was followed by an unacceptable incidence of two problems: (1) the frequent inability to generate an appropriate sinus tachycardia in response to maximal exercise and (2) occasional left atrial dysfunction. In an effort to overcome these problems, we modified the original technique (maze I) twice. The results of these modifications culminated in the maze III procedure, which is associated with a higher incidence of postoperative sinus rhythm, improved long-term sinus node function, fewer pacemaker requirements, less arrhythmia recurrence, and improved long-term atrial transport function. In addition, the maze III procedure is technically less demanding than either the maze I or maze II procedure. Therefore, the maze III procedure is now the technique of choice for the management of medically refractory atrial fibrillation. (J T HORAC C ARDIOVASC S URG 1995;110:473-84).
AB - The original maze procedure that was described for the treatment of patients with atrial fibrillation was followed by an unacceptable incidence of two problems: (1) the frequent inability to generate an appropriate sinus tachycardia in response to maximal exercise and (2) occasional left atrial dysfunction. In an effort to overcome these problems, we modified the original technique (maze I) twice. The results of these modifications culminated in the maze III procedure, which is associated with a higher incidence of postoperative sinus rhythm, improved long-term sinus node function, fewer pacemaker requirements, less arrhythmia recurrence, and improved long-term atrial transport function. In addition, the maze III procedure is technically less demanding than either the maze I or maze II procedure. Therefore, the maze III procedure is now the technique of choice for the management of medically refractory atrial fibrillation. (J T HORAC C ARDIOVASC S URG 1995;110:473-84).
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U2 - 10.1016/S0022-5223(95)70244-X
DO - 10.1016/S0022-5223(95)70244-X
M3 - Article
C2 - 7637365
AN - SCOPUS:0029021207
SN - 0022-5223
VL - 110
SP - 473
EP - 484
JO - The Journal of Thoracic and Cardiovascular Surgery
JF - The Journal of Thoracic and Cardiovascular Surgery
IS - 2
ER -