[HSF] Indications for maze with mitral surgery

Donald Ross donross at bigpond.com
Sat Mar 1 07:52:11 EST 2008


This question followed a heated discussion at one of our clinical  
meeting with one member doing a cryo maze if there was any history of  
AF while the other maintained, correctly I suspect, that there was no  
data supporting that strategy.
Don
On 29/02/2008, at 10:43 PM, hgrmd at aol.com wrote:

>
> Don,
>
> ? Absolutely.? In my opinion, patients going to the OR for an open  
> heart surgery should nearly always have their AF treated as well.?  
> My current policy is to use Atricure PVI for patients with PAF and  
> a procedure otherwise not requiring a left atriotomy.? If the  
> patient is in continuous AF, or if he requires an atriotomy anyway,  
> I do a full Cox-cryomaze with the ATS Cryocath.? The LA appendage  
> is oversewn from the inside.? I've abandoned stapling the LAA.
>
> Hal
>
>
> -----Original Message-----
> From: Donald Ross <donross at bigpond.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Thu, 28 Feb 2008 11:04 pm
> Subject: Re: [HSF] Indications for maze with mitral surgery
>
>
>
> Dear Colleagues,?
> Does a history of paroxysmal AF constitute an indication for  
> concomitant maze in mitral surgery??
> Don?
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