The long-term outcome of patients with coronary disease and atrial fibrillation undergoing the cox maze procedure

Abstract

The Cox maze III procedure has a low operative mortality and excellent long-term efficacy in patients with ischemic heart disease. These data suggest a more widespread use of this procedure in these patients.

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

“…1345 The application of bipolar RF clamps to perform PVI has shown variable 50%–89% 1-year success superior to AAD alone in patients with paroxysmal and persistent AF. 1346,1347,1348,1349,1350 A recent meta-analysis of 16 RCTs of surgical ablation and concomitant operations evaluated predominantly mitral operations, but included both AVR and CABG operations.…”

Surgical Treatment of Atrial Fibrillation

“…Cox-maze III showed a proven efficacy with a long-term success rate superior to 90% both in concomitant and in isolated procedures [5]. Nevertheless, other works reported less encouraging results, generating a not unanimous consensus between cardiologists and cardiac surgeons, also partially due to its relevant technical complexity and possible complications.…”

Surgical Maze Procedures for Atrial Arrhythmias in Univentricular Hearts, from Maze History to Conversion-Fontan

“…Moreover, recovery of atrial transport function, which is essential in the Fontan circulation, can be accomplished (Bogers et al, 2008) 6. Factors affecting the results of surgical maze procedures for atrial fibrillation Taken into account that the different surgical strategies are usually the product of evolving techniques, the results from different series are in general not easy to accumulate or to compare, but results are fairly rewarding, not only with regard to restoring sinus rhythm, but also with regard to freedom of stroke and freedom of cardiovascular-related death on midterm follow up ( Ad et al, 2000;Ballaux et al, 2006;Bando et al ., 2002Bando et al ., , 2003Cox et al, 1995a;Damiano et al, 2003;Fujita et al,2010, Gaynor et al, 2007Gillinov et al, 2007;Kim et al, 2007;Mokadam et al, 2004;Prasad et al, 2003;Rahman et al, 2010). In addition, differences in the reported success rate in restoring sinus rhythm are a continuing debate among cardiac surgeons and cardiologists on the outcome of maze procedures, because surgeons more often treat patients with chronic atrial fibrillation, while cardiologists choose more often to treat patients with paroxysmal atrial fibrillation.…”