Minimally Invasive Stand-Alone Cox-Maze Procedure for Patients With Nonparoxysmal Atrial Fibrillation Niv Ad, MD, Linda Henry, PhD, Ted Friehling, MD,

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Minimally Invasive Stand-Alone Cox-Maze Procedure for Patients With Nonparoxysmal Atrial Fibrillation Niv Ad, MD, Linda Henry, PhD, Ted Friehling, MD, Marc Wish, MD, Sari D. Holmes, PhD The Annals of Thoracic Surgery Volume 96, Issue 3, Pages 792-799 (September 2013) DOI: 10.1016/j.athoracsur.2013.05.007 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Cox-Maze III lesion set diagram for the (A) left atrium and (B) right atrium. (LLPV = left lower pulmonary vein; LUPV = left upper pulmonary vein; RLPV = right lower pulmonary vein; RUPV = right upper pulmonary vein.) The Annals of Thoracic Surgery 2013 96, 792-799DOI: (10.1016/j.athoracsur.2013.05.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Return to sinus rhythm and sinus rhythm off antiarrhythmic drugs (AAD) is shown at 6, 12, 24, and 36 months after the Cox-Maze procedure. The Annals of Thoracic Surgery 2013 96, 792-799DOI: (10.1016/j.athoracsur.2013.05.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Cumulative arrhythmia-free survival is shown during the first 5 years after the Cox-Maze operation. The Annals of Thoracic Surgery 2013 96, 792-799DOI: (10.1016/j.athoracsur.2013.05.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Significant improvements were found preoperatively to 12 months postoperatively in the physical (PCS; blue line) and mental MCS; (red line) composite scores of the SF-12 health-related quality of life (HRQL) scale and (B) significant reductions occurred in atrial fibrillation-related symptom frequency (blue line) and severity (red line). (AF = atrial fibrillation; MCS = mental composite score; PCS = physical composite score.) The Annals of Thoracic Surgery 2013 96, 792-799DOI: (10.1016/j.athoracsur.2013.05.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions