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How To Do It

Bipolar Radiofrequency Maze Procedure Through a Transseptal Approach

^a Division of Cardiac Surgery, S. Raffaele University Hospital, Milan, Italy
^b Division of Cardiac Surgery, San Filippo Neri Hospital, Rome, Italy
^c Division of Cardiothoracic Surgery, Kingston, Jamaica
^d Division of Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia

Accepted for publication October 29, 2009.

^_* Address correspondence to Dr Benussi, Division of Cardiac Surgery, S. Raffaele University Hospital, via Olgettina 60, Milan, 20132, Italy (Email: stefano.benussi{at}hsr.it).

We report how to perform a complete open-heart ablation with bipolar radiofrequency through a transseptal incision. The connecting left atrial lines were performed by inserting one jaw of the clamp through a stab wound in the posterior left atrium, beneath the right inferior pulmonary vein. Twenty-five patients underwent concomitant ablation with the described technique in three different centers. All the left lines were easily performed. No ablation-related complication occurred. At 11 ± 6 months, 80% of the patients were free from arrhythmias.

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