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Ann Thorac Surg 2002;73:320-321
© 2002 The Society of Thoracic Surgeons

How to do it

Epicardial ablation of atrial fibrillation on the beating heart without cardiopulmonary bypass

Domenico Mazzitelli, MD*a, Chul-Hyun Park, MDb, Kook-Yang Park, MDb, Federico J. Benetti, MDc, Ruediger Lange, MDa

a Department of Cardiovascular Surgery, German Heart Center, Munich, Germany
b Department of Cardiothoracic Surgery, GIL Medical Center, Inchon, South Korea
c Benetti Foundation, Rosario, Argentina

Accepted for publication October 10, 2001.

* Address reprint requests to Dr Mazzitelli, Department of Cardiovascular Surgery, German Heart Center at the Technical University, Lazarettstr 36, 80636 Munich, Germany
e-mail: mazzitelli{at}dhm.mhn.de

The Cox-Maze procedure is the gold standard in surgical treatment of atrial fibrillation. Alternative techniques using cryoablation, radiofrequency, or microwaves have been proven to be equally effective. However, up to now, all techniques require the opening of the atria and, hence, the use of extracorporeal circulation. We describe a technique to perform epicardial ablation of atrial fibrillation on the beating heart without the use of cardiopulmonary bypass.




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