Surgical Management of Atrial Fibrillation

G. Shanmugam, D. Exner, R. Damiano

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Atrial fibrillation (AF) is an epidemic. Conservative management by pharmacological therapy and catheter ablation have had limited success and has justified a role for surgical ablation. The full Cox-Maze procedure, performed as a stand-alone or concomitant to other procedures, through a sternotomy or a right mini-thoracotomy, represents the gold standard in AF ablation. Minimally invasive and hybrid procedures are hampered by their inability to consistently create continuous and transmural ablation lines and therefore have had inconsistent results in clinical reports. Work is in progress to develop a minimally invasive, off-pump, complete Cox–Maze procedure.

Original languageEnglish
Title of host publicationEncyclopedia of Cardiovascular Research and Medicine
Number of pages12
ISBN (Electronic)9780128051542
ISBN (Print)9780128096574
StatePublished - Jan 1 2017


  • Atrial fibrillation
  • Cox-Maze procedure
  • Cryoablation
  • Hybrid procedure
  • Left atrial appendage
  • Minimally invasive surgery
  • Pulmonary vein isolation
  • Radiofrequency ablation


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