Surgery for Atrial Fibrillation

Christopher P. Lawrance, Matthew C. Henn, Ralph J. Damiano

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Atrial fibrillation is the most common cardiac arrhythmia, and its treatment options include drug therapy or catheter-based or surgical interventions. The surgical treatment of atrial fibrillation has undergone multiple evolutions over the last several decades. The Cox-Maze procedure went on to become the gold standard for the surgical treatment of atrial fibrillation and is currently in its fourth iteration (Cox-Maze IV). This article reviews the indications and preoperative planning for performing a Cox-Maze IV procedure. This article also reviews the literature describing the surgical results for both approaches including comparisons of the Cox-Maze IV to the previous cut-and-sew method.

Original languageEnglish
Pages (from-to)235-243
Number of pages9
JournalHeart Failure Clinics
Issue number2
StatePublished - Apr 1 2016


  • Atrial fibrillation
  • Cox-Maze
  • Minimally invasive
  • Surgical ablation


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