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Ihsan Bakir
Filip P. Casselman
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Ann Thorac Surg 2007;83:331-340
© 2007 The Society of Thoracic Surgeons

Reviews

Current Strategies in the Surgical Treatment of Atrial Fibrillation: Review of the Literature and Onze Lieve Vrouw Clinic’s Strategy

Ihsan Bakir, MDa, Filip P. Casselman, MD, PhDa,*, Pedro Brugada, MD, PhDb, Peter Geelen, MD, PhDb, Francis Wellens, MDa, Ivan Degrieck, MDa, Frank Van Praet, MDa, Yvette Vermeulen, MSa, Raphael De Geest, MDa,b, Hugo Vanermen, MD, FETCSa,b

a Cardiovascular and Thoracic Surgery Department, Onze Lieve Vrouw Clinic, Aalst, Belgium
b Cardiovascular Research and Teaching Institute, Onze Lieve Vrouw Clinic, Aalst, Belgium

* Address correspondence to Dr Casselman, Onze Lieve Vrouw Clinic, Thoracic and Cardiovascular Surgery Department, Moorselbaan 164, Aalst, 9300 Belgium (Email: filip.casselman{at}olvz-aalst.be).

Atrial fibrillation is the most common rhythm disturbance in clinical practice. It is a major source of stroke and morbidity. Although the Cox maze procedure effectively eliminates atrial fibrillation in most patients, the procedure has not found widespread application. As a consequence, new operations that use alternative sources of energy, such as radiofrequency, microwave, cryothermy, laser, and ultrasound have emerged to surgically create lesion sets to treat atrial fibrillation. This article reviews the fundamentals and current strategies in the surgical treatment of atrial fibrillation.




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