Written by the pioneer of atrial fibrillation surgery, Dr. James Cox, Cox’s Surgical Treatment of Atrial Fibrillation is the authoritative guide to the fundamentals of atrial fibrillation, the evolution of surgical ablation, and current techniques of atrial fibrillation ablation. In this ground-breaking reference, Dr. Cox, along with co-editors Drs. Patrick M. McCarthy, S. Chris Malaisrie and other national and international authorities, defines the principles of atrial fibrillation and other cardiac arrhythmias and inspires other medical professionals to develop further innovations in the treatment of this disease. The result is a single, trustworthy source of knowledge that provides both practitioners and researchers in the field of cardiac arrhythmias with a common understanding of atrial fibrillation and its surgical treatment.
1. Cover image - p. c 2. Title page - p. iii 3. Copyright - p. iv 4. Dedications - p. v 5. Contributors - p. vii 6. Disclosures - p. ix 7. Foreword - p. xi 8. Preface - p. xiii 9. Editor’s Preface - p. xv 10. Acknowledgment - p. xix 11. Contents - p. xxi 12. Video Contents - p. xxiii 13. SECTION 1 Background and Fundamentals - p. p1 14. Chapter 1 A History of Cardiac Arrhythmia Surgery - p. 1 15. Chapter 2 Epidemiology and Economics of Atrial Fibrillation - p. 12 16. Chapter 3 Cardiac Anatomy Pertinent to Atrial Fibrillation Surgery - p. 18 17. Chapter 4 Electrophysiologic Concepts Basic to the Understanding of How to Treat Atrial Fibrillation by Surgical or Catheter Intervention - p. 26 18. Chapter 5 Clinical Electrophysiology of Atrial Flutter and Atrial Fibrillation Pertinent to Interventional Therapy - p. 40 19. Chapter 6 Intraoperative Mapping of Atrial Fibrillation - p. 63 20. Chapter 7 The Basics of Myocardial Strain and Its Relationship to Atrial Fibrillation - p. 71 21. Chapter 8 Atrial Remodeling in Atrial Fibrillation: Atrial Fibrillation Begets Atrial Fibrillation - p. 91 22. Section 2 Evolution of Surgery for Atrial Fibrillation - p. p95 23. Chapter 9 Arrhythmia Surgery Prior to Atrial Fibrillation Surgery - p. 95 24. Chapter 10 Principles and Goals That Govern the Interventional Treatment of Atrial Fibrillation - p. 109 25. Chapter 11 Atrial Fibrillation Surgery Prior to the Maze Procedure - p. 114 26. Chapter 12 Development and Evolution of the Maze Procedure for Atrial Fibrillation - p. 122 27. Chapter 13 Importance of the Right Atrial Lesions in the Maze Procedure - p. 143 28. Chapter 14 Conversion from the Cut-and-Sew Maze-III Procedure to the Minimally Invasive CryoMaze-III Procedure - p. 152 29. Chapter 15 Rationale for Modification of the CryoMaze-III Procedure - p. 166 30. Chapter 16 Robotic CryoMaze-III Procedure - p. 173 31. Chapter 17 The Cox-Maze-IV Procedure for Atrial Fibrillation - p. 180 32. Chapter 18 Downsizing the Left Atrium and Right Atrium - p. 193 33. Chapter 19 When Is a Maze Procedure a Maze Procedure? - p. 198 34. Chapter 20 Lesion Integrity, Energy Sources, Ablation Devices, and Intraoperative Testing - p. 205 35. Chapter 21 Maze Procedure and Postoperative Pacemakers - p. 218 36. Chapter 22 Effect of the Maze Procedure on Left and Right Atrial Function - p. 226 37. Section 3 Surgery for Concomitant AF Ablation During Cardiac Surgery - p. p233 38. Chapter 23 Prevalence of Atrial Fibrillation Before Cardiac Surgery and the Benefits of Concomitant Ablation - p. 233 39. Chapter 24 Current American and European Guidelines for Atrial Fibrillation Surgery - p. 244 40. Chapter 25 Surgical Options for the Treatment of Concomitant Atrial Fibrillation - p. 251 41. Chapter 26 How I Do It: Atrial Fibrillation Ablation Plus Coronary Artery Bypass Grafting - p. 259 42. Chapter 27 How I do it: Atrial Fibrillation Ablation with Mitral Valve Surgery plus/minus Tricuspid Valve Surgery and Coronary Artery Bypass Grafting - p. 264 43. Chapter 28 How I Do It: Minimally Invasive Atrial Fibrillation Ablation During Mitral Valve Surgery With or Without Tricuspid Valve Surgery - p. 271 44. Chapter 29 How I Do It: Atrial Fibrillation Ablation With Aortic Valve Surgery and Ascending Aortic Aneurysm Repair - p. 276 45. Chapter 30 Ganglionic Plexus Ablation - p. 281 46. Section 4 Surgery for Stand-Alone Atrial Fibrillation - p. p288 47. Chapter 31 Results of Catheter Ablation for Stand-Alone Atrial Fibrillation - p. 288 48. Chapter 32 Totally Thoracoscopic Left Atrial Modified Maze Procedure - p. 292 49. Chapter 33 An Overview of Hybrid Procedures for the Treatment of Atrial Fibrillation - p. 295 50. Chapter 34 Thoracoscopic Left-Chest Only Hybrid Procedure for Stand-Alone Atrial Fibrillation - p. 298 51. Chapter 35 Thoracoscopic Non-Maze Hybrid Procedure for Stand-Alone Atrial Fibrillation - p. 302 52. Chapter 36 The Convergent Hybrid Procedure for Stand-Alone Atrial Fibrillation - p. 308 53. Chapter 37 A Complete Hybrid Maze Procedure for Stand-Alone Atrial Fibrillation - p. 314 54. Chapter 38 Minimally Invasive CryoMaze-III Procedure for Stand-Alone Atrial Fibrillation - p. 323 55. Chapter 39 A Cardiac Surgeon and Interventional Electrophysiologist’s Perspective on the Treatment of Long-Standing Persistent Atrial Fibrillation - p. 328 56. Section 5 Management of the Left Atrial Appendage - p. p334 57. Chapter 40 Overview of the Surgical Management of the Left Atrial Appendage - p. 334 58. Chapter 41 Anatomy and Physiology of the Left Atrial Appendage - p. 342 59. Chapter 42 Neurohormonal Consequences of Left Atrial Appendage Closure - p. 347 60. Chapter 43 Effect of Left Atrial Appendage Occlusion on Left Atrial Function and Electrophysiology - p. 351 61. Chapter 44 The AtriClip Device and Long-Term Results of Left Atrial Appendage Closure - p. 361 62. Chapter 45 Totally Thoracoscopic Left Atrial Appendage Occlusion - p. 364 63. Chapter 46 Randomized Trials of Left Atrial Appendage Occlusion - p. 373 64. Section 6 Management of Postoperative Arrhythmias - p. p377 65. Chapter 47 New-Onset Postoperative Atrial Fibrillation - p. 377 66. Chapter 48 Postoperative Peri-Mitral Flutter - p. 386 67. Chapter 49 Anti-Arrhythmic Drug Therapy and Anticoagulation Following the Maze Procedure for Atrial Fibrillation - p. 392 68. Section 7 Future Directions - p. p395 69. Chapter 50 The Future of Left Atrial Appendage Management - p. 395 70. Chapter 51 The Future of Concomitant Atrial Fibrillation Ablation - p. 398 71. Chapter 52 Future of the Interventional Treatment of Stand-Alone Atrial Fibrillation - p. 402 72. Index - p. 414
Written by the pioneer of atrial fibrillation surgery, Dr. James Cox, Cox’s Surgical Treatment of Atrial Fibrillation is the authoritative guide to the fundamentals of atrial fibrillation, the evolution of surgical ablation, and current techniques of atrial fibrillation ablation. In this ground-breaking reference, Dr. Cox, along with co-editors Drs. Patrick M. McCarthy, S. Chris Malaisrie and other national and international authorities, defines the principles of atrial fibrillation and other cardiac arrhythmias and inspires other medical professionals to develop further innovations in the treatment of this disease. The result is a single, trustworthy source of knowledge that provides both practitioners and researchers in the field of cardiac arrhythmias with a common understanding of atrial fibrillation and its surgical treatment.
1. Cover image - p. c 2. Title page - p. iii 3. Copyright - p. iv 4. Dedications - p. v 5. Contributors - p. vii 6. Disclosures - p. ix 7. Foreword - p. xi 8. Preface - p. xiii 9. Editor’s Preface - p. xv 10. Acknowledgment - p. xix 11. Contents - p. xxi 12. Video Contents - p. xxiii 13. SECTION 1 Background and Fundamentals - p. p1 14. Chapter 1 A History of Cardiac Arrhythmia Surgery - p. 1 15. Chapter 2 Epidemiology and Economics of Atrial Fibrillation - p. 12 16. Chapter 3 Cardiac Anatomy Pertinent to Atrial Fibrillation Surgery - p. 18 17. Chapter 4 Electrophysiologic Concepts Basic to the Understanding of How to Treat Atrial Fibrillation by Surgical or Catheter Intervention - p. 26 18. Chapter 5 Clinical Electrophysiology of Atrial Flutter and Atrial Fibrillation Pertinent to Interventional Therapy - p. 40 19. Chapter 6 Intraoperative Mapping of Atrial Fibrillation - p. 63 20. Chapter 7 The Basics of Myocardial Strain and Its Relationship to Atrial Fibrillation - p. 71 21. Chapter 8 Atrial Remodeling in Atrial Fibrillation: Atrial Fibrillation Begets Atrial Fibrillation - p. 91 22. Section 2 Evolution of Surgery for Atrial Fibrillation - p. p95 23. Chapter 9 Arrhythmia Surgery Prior to Atrial Fibrillation Surgery - p. 95 24. Chapter 10 Principles and Goals That Govern the Interventional Treatment of Atrial Fibrillation - p. 109 25. Chapter 11 Atrial Fibrillation Surgery Prior to the Maze Procedure - p. 114 26. Chapter 12 Development and Evolution of the Maze Procedure for Atrial Fibrillation - p. 122 27. Chapter 13 Importance of the Right Atrial Lesions in the Maze Procedure - p. 143 28. Chapter 14 Conversion from the Cut-and-Sew Maze-III Procedure to the Minimally Invasive CryoMaze-III Procedure - p. 152 29. Chapter 15 Rationale for Modification of the CryoMaze-III Procedure - p. 166 30. Chapter 16 Robotic CryoMaze-III Procedure - p. 173 31. Chapter 17 The Cox-Maze-IV Procedure for Atrial Fibrillation - p. 180 32. Chapter 18 Downsizing the Left Atrium and Right Atrium - p. 193 33. Chapter 19 When Is a Maze Procedure a Maze Procedure? - p. 198 34. Chapter 20 Lesion Integrity, Energy Sources, Ablation Devices, and Intraoperative Testing - p. 205 35. Chapter 21 Maze Procedure and Postoperative Pacemakers - p. 218 36. Chapter 22 Effect of the Maze Procedure on Left and Right Atrial Function - p. 226 37. Section 3 Surgery for Concomitant AF Ablation During Cardiac Surgery - p. p233 38. Chapter 23 Prevalence of Atrial Fibrillation Before Cardiac Surgery and the Benefits of Concomitant Ablation - p. 233 39. Chapter 24 Current American and European Guidelines for Atrial Fibrillation Surgery - p. 244 40. Chapter 25 Surgical Options for the Treatment of Concomitant Atrial Fibrillation - p. 251 41. Chapter 26 How I Do It: Atrial Fibrillation Ablation Plus Coronary Artery Bypass Grafting - p. 259 42. Chapter 27 How I do it: Atrial Fibrillation Ablation with Mitral Valve Surgery plus/minus Tricuspid Valve Surgery and Coronary Artery Bypass Grafting - p. 264 43. Chapter 28 How I Do It: Minimally Invasive Atrial Fibrillation Ablation During Mitral Valve Surgery With or Without Tricuspid Valve Surgery - p. 271 44. Chapter 29 How I Do It: Atrial Fibrillation Ablation With Aortic Valve Surgery and Ascending Aortic Aneurysm Repair - p. 276 45. Chapter 30 Ganglionic Plexus Ablation - p. 281 46. Section 4 Surgery for Stand-Alone Atrial Fibrillation - p. p288 47. Chapter 31 Results of Catheter Ablation for Stand-Alone Atrial Fibrillation - p. 288 48. Chapter 32 Totally Thoracoscopic Left Atrial Modified Maze Procedure - p. 292 49. Chapter 33 An Overview of Hybrid Procedures for the Treatment of Atrial Fibrillation - p. 295 50. Chapter 34 Thoracoscopic Left-Chest Only Hybrid Procedure for Stand-Alone Atrial Fibrillation - p. 298 51. Chapter 35 Thoracoscopic Non-Maze Hybrid Procedure for Stand-Alone Atrial Fibrillation - p. 302 52. Chapter 36 The Convergent Hybrid Procedure for Stand-Alone Atrial Fibrillation - p. 308 53. Chapter 37 A Complete Hybrid Maze Procedure for Stand-Alone Atrial Fibrillation - p. 314 54. Chapter 38 Minimally Invasive CryoMaze-III Procedure for Stand-Alone Atrial Fibrillation - p. 323 55. Chapter 39 A Cardiac Surgeon and Interventional Electrophysiologist’s Perspective on the Treatment of Long-Standing Persistent Atrial Fibrillation - p. 328 56. Section 5 Management of the Left Atrial Appendage - p. p334 57. Chapter 40 Overview of the Surgical Management of the Left Atrial Appendage - p. 334 58. Chapter 41 Anatomy and Physiology of the Left Atrial Appendage - p. 342 59. Chapter 42 Neurohormonal Consequences of Left Atrial Appendage Closure - p. 347 60. Chapter 43 Effect of Left Atrial Appendage Occlusion on Left Atrial Function and Electrophysiology - p. 351 61. Chapter 44 The AtriClip Device and Long-Term Results of Left Atrial Appendage Closure - p. 361 62. Chapter 45 Totally Thoracoscopic Left Atrial Appendage Occlusion - p. 364 63. Chapter 46 Randomized Trials of Left Atrial Appendage Occlusion - p. 373 64. Section 6 Management of Postoperative Arrhythmias - p. p377 65. Chapter 47 New-Onset Postoperative Atrial Fibrillation - p. 377 66. Chapter 48 Postoperative Peri-Mitral Flutter - p. 386 67. Chapter 49 Anti-Arrhythmic Drug Therapy and Anticoagulation Following the Maze Procedure for Atrial Fibrillation - p. 392 68. Section 7 Future Directions - p. p395 69. Chapter 50 The Future of Left Atrial Appendage Management - p. 395 70. Chapter 51 The Future of Concomitant Atrial Fibrillation Ablation - p. 398 71. Chapter 52 Future of the Interventional Treatment of Stand-Alone Atrial Fibrillation - p. 402 72. Index - p. 414
