| The importance of cryoablation of the coronary sinus during the Maze procedure. | |
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MedLine Citation:
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PMID: 10746918 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although the Maze procedure has proven to be very effective in the treatment of atrial fibrillation, some authors have chosen to delete some of the important steps of the technique. Both our experimental and clinical experiences with the Maze procedure indicate that 1 of the most important principles is to interrupt conduction across the posterior-inferior portion of the left atrium. This is accomplished by creating a transmural lesion in the myocardium and then creating a circumferential lesion at the same site in the coronary sinus. We have used surgical incisions in the atrium and a cryolesion in the coronary sinus to block conduction in this area. If either fails, there is a high rate of arrhythmia recurrence. |
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Authors:
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J L Cox; N Ad |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in thoracic and cardiovascular surgery Volume: 12 ISSN: 1043-0679 ISO Abbreviation: Semin. Thorac. Cardiovasc. Surg. Publication Date: 2000 Jan |
Date Detail:
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Created Date: 2000-04-19 Completed Date: 2000-04-19 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8917640 Medline TA: Semin Thorac Cardiovasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 20-4 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Georgetown University Medical Center, Washington, DC 20007, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Atrial Fibrillation
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physiopathology,
surgery* Cardiac Surgical Procedures / methods* Cryosurgery* Electrocardiography Heart Atria / innervation* Heart Conduction System / surgery* Heart Rate Humans Recurrence / prevention & control Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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