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KMID : 1011920100110040026
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International Journal of Arrhythmia
2010 Volume.11 No. 4 p.26 ~ p.29
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Surgical ablation of atrial fibrillation: Maze procedure
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Lee Jae-Won
Kim Joon-Bum
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Abstract
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Since the Maze operation for ablation of atrial fibrillation was introduced two decades ago, the effectiveness of the operation for sinus rhythm conversion has been well demonstrated, and it has been widely performed in combination with various cardiac surgeries. A number of studies have suggested that the incorporation of atrial contractility into cardiac output by use of a successful Maze procedure improves hemodynamic performance and decreases thromboembolic risks. Over the last 5~10 years, the introduction of new ablation technology has led to the development of several technical modifications as well as more limited lesion sets, with the ultimate goal of performing a minimally invasive lesion set on the beating heart without the need for cardiopulmonary bypass. This review summarizes the current state of the art regarding AF ablation surgery.
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KEYWORD
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atrial fibrillation, surgery, ablation
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