Surgical treatment of atrial fibrillation

John M. Stulak, Hartzell V Schaff

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

While most patients with atrial fibrillation (AF) are treated with medical therapy or catheter ablation, there are many instances in which surgical treatment is indicated. Surgical techniques have evolved during the past 20 years, and currently, most are performed with radiofrequency or cryoablation as an additive part to cardiac surgery for other pathology. Ablation of AF is most commonly performed during mitral valve surgery, but there are several other instances in which it offers potential benefit, including during repair of congenital heart disease, for tachycardia-induced cardiomyopathy, and during septal myectomy for obstructive hypertrophic cardiomyopathy. New instruments have been developed to facilitate and simplify AF ablation, however, equivalency to the classic cut and sew Maze procedure has not been demonstrated. In addition, new lesion sets have been proposed, but, future comparative studies are necessary to elucidate the optimal approach when ablation of AF is considered.

Original languageEnglish (US)
Title of host publicationElectrical Diseases of the Heart: Volume 2: Diagnosis and Treatment, Second Edition
PublisherSpringer-Verlag London Ltd
Pages561-576
Number of pages16
ISBN (Print)9781447149781, 9781447149774
DOIs
StatePublished - Jan 1 2013

Keywords

  • Ablation
  • Atrial fibrillation
  • Cryoablation
  • Maze procedure
  • Radiofrequency

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Stulak, J. M., & Schaff, H. V. (2013). Surgical treatment of atrial fibrillation. In Electrical Diseases of the Heart: Volume 2: Diagnosis and Treatment, Second Edition (pp. 561-576). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-4471-4978-1_36