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Ann Thorac Surg 2002;74:1259-1261
© 2002 The Society of Thoracic Surgeons


How to do it

Microwave ablation of atrial fibrillation during mitral valve operations

A. Marc Gillinov, MD*a, Nicholas G. Smedira, MDa, Delos M. Cosgrove, III, MD

a Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Accepted for publication April 30, 2002.

* Address reprint requests to Dr Gillinov, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, F24, 9500 Euclid Ave, Cleveland, OH 44195 USA
e-mail: gillinom{at}ccf.org

Although the Cox-Maze III procedure cures atrial fibrillation in the majority of patients, it has not had widespread application. Development of new operations that use alternate energy sources and different lesion sets have caused resurgence in the surgical treatment of atrial fibrillation. Microwave creates lines of conduction block by thermal damage and subsequent scar formation. We describe a rapid and simple technique for microwave ablation of atrial fibrillation in patients having mitral valve operations.




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