Surgical Treatment of Atrial Fibrillation

A Comprehensive Guide to Performing the Cox Maze IV Procedure

Jonathan Philpott, Christian Zemlin, Ralph J. Damiano

• Publisher: Academic Press
• Year: 2017
• Print ISBN:
  9780128046715
• eBook ISBN:
  9780128046722
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

Surgical Treatment of Atrial Fibrillation: A Comprehensive Guide to Performing the Cox-Maze IV Procedure is the first all-inclusive description of this rapidly growing surgery, setting the standard in the field. The Cox-Maze IV procedure is a complex surgery, and its success depends critically on correct execution. With FDA approval, the first RF ablation device for treatment of the Cox-Maze IV procedure has become more important than ever to combine scientific information for the procedure with its connection to human application. This comprehensive text provides step-by-step instructions from an experienced Cox-Maze IV surgeon and is written in the style of a mentor advising his mentee in the operating room. It contains over a dozen lessons described in detail, with illustrations, photographs and a discussion of possible complications and appropriate ways to deal with them. Additionally, the book describes sequencing for the surgeries that are typically performed concomitant with the Cox-Maze IV procedure, determining the optimal way to combine surgeries. Cardiac surgeons, fellows in cardiac surgery, medical students inclined toward cardiac surgery and cardiology researchers will find this book to be of great importance to their work. - Offers access to video clips that show the steps of the Maze procedure, the techniques involved and the pitfalls that need to be avoided - Includes coverage of post-procedure management of patients, including assessment, patient follow-up, typical complications and participation in outcome databases - Provides a detailed discussion of the different energy sources used for the procedure - Presents guidelines for sequencing and/or combining concomitant surgeries

Table of contents

• Cover
• Title page
• Table of Contents
• Copyright
• Foreword
• Preface
• Acknowledgments
• Uniform Abbreviation List
• Chapter 1: Foundations and Fundamentals
• Chapter 2: Outcome Tracking is Critical to Success—and a Mandatory Part of the Procedure
• Chapter 3: Maze Indications, Perioperative Management, and Expected Success Rates
• Chapter 4: The Art and Science of Making Effective Maze Ablation Lines
• Chapter 5: Mastering the Initial Dissection and Cannulation: Making Ablation Easy and Safe
• Chapter 6: Overview of the Right Atrial Lesion Set of the Maze-IV
• Chapter 7: The Vertical Atriotomy
• Chapter 8: The Intercaval Line
• Chapter 9: The Modified and the Classic Right Atrial Appendage Line
• Chapter 10: Tricuspid Caval Isthmus Line
• Chapter 11: Overview of the Left Side of the Maze-IV Lesion Set
• Chapter 12: Box Pulmonary Vein Isolation
• Chapter 13: LAA Line and Appendage Amputation/Exclusion
• Chapter 14: The Mitral Valve Isthmus Line
• Chapter 15: Intraoperative Testing
• Chapter 16: Sequencing Overview and Coronary Artery Bypass Implications
• Chapter 17: Sequencing Examples Using the Modified MVI CS Ablation Line Technique
• Teaching Appendix: Thought Experiments to Understand Activation Waves, AF, Atrial Flutter, MRCs, and Complications of the Maze
• Index