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.
1. Cover - p. i 2. Title page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. ii 5. Foreword - p. iv 6. Preface - p. xiv 7. Acknowledgments - p. xvi 8. Uniform Abbreviation List - p. xvii 9. Chapter 1: Foundations and Fundamentals - p. xix 10. Chapter 2: Outcome Tracking is Critical to Success—and a Mandatory Part of the Procedure - p. 33 11. Chapter 3: Maze Indications, Perioperative Management, and Expected Success Rates - p. 53 12. Chapter 4: The Art and Science of Making Effective Maze Ablation Lines - p. 61 13. Chapter 5: Mastering the Initial Dissection and Cannulation: Making Ablation Easy and Safe - p. 96 14. Chapter 6: Overview of the Right Atrial Lesion Set of the Maze-IV - p. 111 15. Chapter 7: The Vertical Atriotomy - p. 128 16. Chapter 8: The Intercaval Line - p. 133 17. Chapter 9: The Modified and the Classic Right Atrial Appendage Line - p. 149 18. Chapter 10: Tricuspid Caval Isthmus Line - p. 171 19. Chapter 11: Overview of the Left Side of the Maze-IV Lesion Set - p. 181 20. Chapter 12: Box Pulmonary Vein Isolation - p. 198 21. Chapter 13: LAA Line and Appendage Amputation/Exclusion - p. 235 22. Chapter 14: The Mitral Valve Isthmus Line - p. 249 23. Chapter 15: Intraoperative Testing - p. 271 24. Chapter 16: Sequencing Overview and Coronary Artery Bypass Implications - p. 278 25. Chapter 17: Sequencing Examples Using the Modified MVI CS Ablation Line Technique - p. 284 26. Teaching Appendix: Thought Experiments to Understand Activation Waves, AF, Atrial Flutter, MRCs, and Complications of the Maze - p. 306 27. Index - p. 310
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.
1. Cover - p. i 2. Title page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. ii 5. Foreword - p. iv 6. Preface - p. xiv 7. Acknowledgments - p. xvi 8. Uniform Abbreviation List - p. xvii 9. Chapter 1: Foundations and Fundamentals - p. xix 10. Chapter 2: Outcome Tracking is Critical to Success—and a Mandatory Part of the Procedure - p. 33 11. Chapter 3: Maze Indications, Perioperative Management, and Expected Success Rates - p. 53 12. Chapter 4: The Art and Science of Making Effective Maze Ablation Lines - p. 61 13. Chapter 5: Mastering the Initial Dissection and Cannulation: Making Ablation Easy and Safe - p. 96 14. Chapter 6: Overview of the Right Atrial Lesion Set of the Maze-IV - p. 111 15. Chapter 7: The Vertical Atriotomy - p. 128 16. Chapter 8: The Intercaval Line - p. 133 17. Chapter 9: The Modified and the Classic Right Atrial Appendage Line - p. 149 18. Chapter 10: Tricuspid Caval Isthmus Line - p. 171 19. Chapter 11: Overview of the Left Side of the Maze-IV Lesion Set - p. 181 20. Chapter 12: Box Pulmonary Vein Isolation - p. 198 21. Chapter 13: LAA Line and Appendage Amputation/Exclusion - p. 235 22. Chapter 14: The Mitral Valve Isthmus Line - p. 249 23. Chapter 15: Intraoperative Testing - p. 271 24. Chapter 16: Sequencing Overview and Coronary Artery Bypass Implications - p. 278 25. Chapter 17: Sequencing Examples Using the Modified MVI CS Ablation Line Technique - p. 284 26. Teaching Appendix: Thought Experiments to Understand Activation Waves, AF, Atrial Flutter, MRCs, and Complications of the Maze - p. 306 27. Index - p. 310
