Left Atrial Reduction Enhances Outcomes of Modified Maze Procedure for Permanent Atrial Fibrillation During Concomitant Mitral Surgery Vinay Badhwar,

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Left Atrial Reduction Enhances Outcomes of Modified Maze Procedure for Permanent Atrial Fibrillation During Concomitant Mitral Surgery Vinay Badhwar, MD, Joshua D. Rovin, MD, Gail Davenport, ARNP-BC, J. Crayton Pruitt, MD, Robert R. Lazzara, MD, George Ebra, EdD, Gary H. Dworkin, MD The Annals of Thoracic Surgery Volume 82, Issue 5, Pages 1758-1764 (November 2006) DOI: 10.1016/j.athoracsur.2006.05.044 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Left atrial reduction radiofrequency maze procedure: (a) Cox-maze III left atrial lesion set including pulmonary vein isolation, left atrial appendage isolation, and mitral annular connecting lesion, (b) linear suture closure of left atrial appendage, (c) left atrial reduction performed by simple extension of left atriotomy followed by excision of excess left atrial tissue, d) closure of left atrium. The Annals of Thoracic Surgery 2006 82, 1758-1764DOI: (10.1016/j.athoracsur.2006.05.044) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Rhythm after operation at designated time intervals. (NSR (dark boxes) = normal sinus rhythm; AF (light boxes) = atrial fibrillation; mos = months). Line with diamond, percentage. The Annals of Thoracic Surgery 2006 82, 1758-1764DOI: (10.1016/j.athoracsur.2006.05.044) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions