Concomitant off-pump modified maze and coronary surgery.

Mariani, Massimo A; Stoker, Thijs; Scholten, Marcoen F; Addis, Alessandro; Corradi, Domenico; Alfieri, Ottavio; Benussi, Stefano · Ann Thorac Surg · 2011

case_series · Level IV

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Abstract

We describe a modification of the Cox-Maze III using bipolar radiofrequency combined with off-pump coronary artery surgery for the treatment of patients with coronary artery disease and long-standing permanent atrial fibrillation. This study reports the midterm outcome of 12 patients with coronary artery disease and long-standing permanent atrial fibrillation who underwent off-pump coronary artery surgery and concomitant modified Maze with bipolar radiofrequency. At a mean follow-up of 23 months, all patients were alive, and 75% (9 of 12) had sinus rhythm. Our modified Maze can be safely and effectively combined with coronary artery surgery in an off-pump setting.

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