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Jennifer S. Lawton, MD, Thomas A. D'Amico, MD 

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Presentation on theme: "Jennifer S. Lawton, MD, Thomas A. D'Amico, MD "— Presentation transcript:

1 Historical perspectives of The American Association for Thoracic Surgery: James Lewis Cox (1942-) 
Jennifer S. Lawton, MD, Thomas A. D'Amico, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 149, Issue 5, Pages (May 2015) DOI: /j.jtcvs Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 James Lewis Cox, MD. (Courtesy of Dr Thomas A. D'Amico.)
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Photograph of John P. Boineau, MD.
(Courtesy of Dr Schuessler.) The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Dr Cox's surgical electrophysiology laboratory at Duke University ( ). Standing left to right: T. Bruce Ferguson, MD, Gary K. Lofland, MD, James M. Douglas, MD, Ralph J. Damiano, Jr, MD, Ross M. Ungerleider, MD, Peter K. Smith, MD, and William L. Holman, MD; seated left to right: Barry H. Branham, computer engineer, James L. Cox, MD, and George Quick, chief laboratory technician. (Courtesy of Dr Ralph J. Damiano, Jr.) The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Photograph of James Lewis Cox, MD, in 1989.
(Courtesy of Dr Cox.) The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

6 Figure 5 Photograph of Richard B. Schuessler, PhD.
(Courtesy of Dr Schuessler.) The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

7 Figure 6 The concept of the maze procedure first envisioned in early 1987 aided by experimental maps of atrial fibrillation obtained by Richard B. Schuessler, PhD, and John P. Boineau, MD. A, Two-dimensional representation of the anatomy of the atria with the right atrium harboring the orifices of the superior (SVC) and inferior venae cavae (IVC), as well as the right atrial appendage (RAA). The left atrium has the pulmonary veins (PV) and left atrial appendage (LAA). The atrial septum divides the 2 with the sinoatrial (SA) node in the top of the right atrium near the septum and the atrioventricular (AV) node at the bottom of the septum connecting to the ventricles. B, Arrows depict the propagation of a normal sinus rhythm beat from its source (starburst) in the SA node to all of the atrial myocardium and then to its termination at the AV node. C, Heavy lines represent lines of conduction block created by lesions in the atria. By placing the lesions in the pattern of a maze, they can be placed close enough to prevent the development of macro-reentry anywhere in either atrium and still allow the sinus impulse to activate all of the atrial myocardium except the encircled pulmonary veins and excised atrial appendages (D). Reprinted with permission.4 The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

8 Figure 7 Cox-maze III procedure. Reprinted with permission.3
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

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