Modification of the maze procedure for atrial flutter and atrial fibrillation ☆ ☆☆ ★ ★★ ♢: I. Rationale and surgical results
作者： Richard B. Schuessler , Robert D.B. Jaquiss , Demetrios G. Lappas , James L. Cox , John P. Boineau
DOI: 10.1016/S0022-5223(95)70244-X
关键词: Cardiology 、 Anesthesia 、 Surgical results 、 Atrial fibrillation 、 Left atrial 、 Medicine 、 Atrial flutter 、 Internal medicine 、 Sinus tachycardia 、 Sinus rhythm 、 Maximal exercise 、 Cox maze procedure
摘要: Abstract The original maze procedure that was described for the treatment of patients with atrial fibrillation followed by an unacceptable incidence two problems: (1) frequent inability to generate appropriate sinus tachycardia in response maximal exercise and (2) occasional left dysfunction. In effort overcome these problems, we modified technique (maze I) twice. results modifications culminated III procedure, which is associated a higher postoperative rhythm, improved long-term node function, fewer pacemaker requirements, less arrhythmia recurrence, transport function. addition, technically demanding than either I or II procedure. Therefore, now choice management medically refractory fibrillation. (J T HORAC C ARDIOVASC S URG 1995;110:473-84)
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