The maze operation as a surgical treatment of atrial fibrillation

In this study we reviewed the history of the surgical treatment of atrial fibrillation (AF). Of the various types, the maze operation has become nowadays the most successful surgical treatment of AF with or without concomitant cardiac surgery. We report on our 10-year experience with conventional ma...

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Bibliographic Details
Published inActa chirurgica belgica Vol. 105; no. 4; p. 359
Main Authors Ballaux, P K E W, Geuzebroek, G S C, Defauw, J J A M T, van Hemel, N M
Format Journal Article
LanguageEnglish
Published England 01.08.2005
Subjects
Atrial Fibrillation - physiopathology
Atrial Fibrillation - surgery
Cardiac Surgical Procedures - methods
Female
Heart Atria - pathology
Heart Conduction System - physiopathology
Humans
Male
Middle Aged
Multivariate Analysis
Retrospective Studies
Treatment Outcome
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Summary:In this study we reviewed the history of the surgical treatment of atrial fibrillation (AF). Of the various types, the maze operation has become nowadays the most successful surgical treatment of AF with or without concomitant cardiac surgery. We report on our 10-year experience with conventional maze III surgery: 203 patients were operated on without in-hospital mortality and acceptable morbidity. Success defined as the freedom of AF and other supraventricular arrhythmias was 80.1% for the patients with lone AF and 64.5% for the patients with concomitant AF after a mean of 4 years after surgery. We conclude that despite the complexity of the maze III operation this approach remains the golden standard from which future surgical and other ablative treatments of AF will be derived.
ISSN:0001-5458
DOI:10.1080/00015458.2005.11679736