[HSF] Indications for maze with mitral surgery

[Ben Bidstrup]

I agree. I do both atria and my conversion and maintained SR rate is 
in the 90%. Rarely have I seen flutter. Most of my cases have been 
persistent AF.

>I ablate the mitral Isthmus and I burn the coronary sinus mouth from
>the RA as a part of the biatrial set and believe that both are very
>important. When I did the comparative study the "epicardial right +
>endocardial left" was designed with elimination of the CS mouth lesion
>and the superior RA to TV lesion being omitted.The isthmic burn was
>attemopted in that set by burning externally from IVC to TV. The left
>atrial set included the mitral isthmic lesion.
>Lesser mazes did give a lower conversion rate.
>
>One of my friends from PGI Chandigarh gave eMAZE as the topic for the
>thesis of his postgraduate student and his findings also confirmed
>that an abbreviated set of lesions has a lower conversion rate.
>
>On Sun, Mar 2, 2008 at 3:56 AM,  <Hgrmd at aol.com> wrote:
>>  Prasanna,
>>    Do you ablate the mitral isthmus and the coronary sinus with the  cautery?
>>
>>   Hal
>>
>>
>>
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>>
>>
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>
>
>
>--
>Prasanna Simha M
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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon