TY - JOUR
T1 - An effective modification to simplify the right atrial lesion set of the cox-cryomaze
AU - Cheema, Faisal H.
AU - Younus, Muhammad J.
AU - Pasha, Arham
AU - Cox, James L.
AU - Roberts, Harold G.
PY - 2013/7
Y1 - 2013/7
N2 - Reluctance to perform biatrial Cox-cryomaze is primarily to avoid the vexation of creating a right-atrial-lesion (RAL) set of Cox-Maze-III. An alternative pattern of RAL set includes (i) a horizontal atriotomy, continued medially as a linear cryolesion across the posterior tricuspid annulus, (ii) a cavocaval lesion, and (iii) a lateral cryolesion from the midportion of the atriotomy to the tip of the right atrial appendage (RAA). This latter lesion is a substitute for a cryolesion that, in past, was directed medially by a stab wound in the tip of the RAA to the anterior tricuspid annulus. Use of the simplified RAL set, therefore, allows for more deftly achieving a complete biatrial Cox-cryomaze.
AB - Reluctance to perform biatrial Cox-cryomaze is primarily to avoid the vexation of creating a right-atrial-lesion (RAL) set of Cox-Maze-III. An alternative pattern of RAL set includes (i) a horizontal atriotomy, continued medially as a linear cryolesion across the posterior tricuspid annulus, (ii) a cavocaval lesion, and (iii) a lateral cryolesion from the midportion of the atriotomy to the tip of the right atrial appendage (RAA). This latter lesion is a substitute for a cryolesion that, in past, was directed medially by a stab wound in the tip of the RAA to the anterior tricuspid annulus. Use of the simplified RAL set, therefore, allows for more deftly achieving a complete biatrial Cox-cryomaze.
UR - http://www.scopus.com/inward/record.url?scp=84879672013&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2012.12.065
DO - 10.1016/j.athoracsur.2012.12.065
M3 - Article
C2 - 23816095
AN - SCOPUS:84879672013
SN - 0003-4975
VL - 96
SP - 330
EP - 332
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 1
ER -