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Ann Thorac Surg 2002;74:2210-2217
© 2002 The Society of Thoracic Surgeons

Review

Atrial fibrillation: current surgical options and their assessment

A. Marc Gillinov, MDa*a, Eugene H. Blackstone, MDa,b, Patrick M. McCarthy, MDa

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

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

Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with morbidity and mortality. Traditional surgical treatment of AF is the Cox-Maze III procedure, a complicated operation. New surgical approaches include alternate energy sources (radiofrequency, microwave, cryothermy) and simplified left atrial lesion sets. These operations cure AF in 70% to 80% of patients. This review describes contemporary and emerging surgical approaches to AF, synthesizes results of these operations, and proposes new standards for reporting results of AF treatment.




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