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Long-term results of irrigated radiofrequency modified maze procedure in 200 patients with concomitant cardiac surgery: six years experience  Hauw T Sie,

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Presentation on theme: "Long-term results of irrigated radiofrequency modified maze procedure in 200 patients with concomitant cardiac surgery: six years experience  Hauw T Sie,"— Presentation transcript:

1 Long-term results of irrigated radiofrequency modified maze procedure in 200 patients with concomitant cardiac surgery: six years experience  Hauw T Sie, MD, Willem P Beukema, MD, Arif Elvan, MD, PhD, Anand R Ramdat Misier, MD, PhD  The Annals of Thoracic Surgery  Volume 77, Issue 2, Pages (February 2004) DOI: /S (03)

2 Fig 1 View inside left atrium. Incision through the interatrial groove (Waterston) and stay sutures to expose the left atrium. Blue lines depict the endocardial radiofrequency ablation lines. Ablation lines (O) are also performed from the ablation line isolating the left pulmonary veins (LPV) to the base of the excised and resutured left atrial appendage (LAA) amputation site and to the posterior mitral valve (MV) annulus. (p = isolation of the coronary sinus from the posterior left atrial wall; RPV = right pulmonary veins.) The Annals of Thoracic Surgery  , DOI: ( /S (03) )

3 Fig 2 View inside right atrium. Bicaval cannulation. Blue lines depict the endocardial radiofrequency ablation lines. The isthmus ablation (F) runs from the inferior caval vein (IVC), across the interatrial septum, up to the caudal aspect of the coronary sinus (CS) ostium and over to the posterior tricuspid valve (TV) annulus. (FO = foramen ovale; RAA = excised and resutured right atrial appendage; SVC = superior vena cava.) The Annals of Thoracic Surgery  , DOI: ( /S (03) )

4 Fig 3 Long-term survival after radiofrequency maze. Actuarial survival for the entire study group of 200 patients. The Annals of Thoracic Surgery  , DOI: ( /S (03) )

5 Fig 4 Long-term rhythm follow-up after radiofrequency maze. Freedom from atrial fibrillation (AF) and atrial flutter (AFL) using the Kaplan-Meier actuarial curve in 158 patients. The Annals of Thoracic Surgery  , DOI: ( /S (03) )


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