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. 2009 Feb 3;23(7):548–549. doi: 10.1002/clc.4960230716

Cox‐maze procedure for treatment of atrial flutter associated with an atrial septal defect

Habib A Dakik 1,, Samir Arnaout 1, Maurice Khoury 1, Mounir Obeid 2
PMCID: PMC6655018  PMID: 10894446

Abstract

A 52‐year‐old man presented with atrial flutter and was found to have an atrial septal defect (ASD). The paper describes an effective surgical approach for the treatment of this atrial arrhythmia utilizing a right sided Cox‐maze EI procedure concomitant with ASD closure. Review of the literature and clinical implications are discussed.

Keywords: atrial septal defect, atrial flutter, Cox‐maze procedure

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References

  • 1. Murphy JG, Gersh BJ, McGoon MD, Mair DD, Porter CJ, Ilstrup DM, McGoon DC, Puga FJ, Kirklin JW, Danielson GK: Long‐term outcome after surgical repair of isolated atrial septal defect. N Engl J Med 1990; 323: 1645–1650 [DOI] [PubMed] [Google Scholar]
  • 2. Shah D, Azhar M, Oakley CM, Cleland JGF, Nihoyannopoulos P: Natural history of secundum atrial septal defect in adults after medical or surgical treatment: A historical prospective study. Br Heart J 1994; 71: 224–228 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3. Konstantinides S, Geibel A, Olschewski M, Gornandt L, Roskamm H, Spillner G, Just H, Kasper W: A comparison of surgical and medical therapy for atrial septal defect in adults. N Engl J Med 1995; 333: 469–473 [DOI] [PubMed] [Google Scholar]
  • 4. Cox JL, Jaquiss RDB, Schuessler RB, Boineau JP: Modification of the maze procedure for atrial flutter and atrial fibrillation. II. Surgical technique of the maze III procedure. J Thome Cardiovase Surg 1995; 110: 485–495 [DOI] [PubMed] [Google Scholar]
  • 5. Cox JL, Boineau JP, Schuessler RB, Jaquiss RDB, Lappas DG: Modification of the maze procedure for atrial flutter and atrial fibrillation. I. Rationale and surgical results. J Thome Cardiovase Surg 1995; 110: 473–484 [DOI] [PubMed] [Google Scholar]
  • 6. Bonchek LI, Burlingame MW, Worley SJ, Vazales BE, Lundy EF: Cox/maze procedure for atrial septal defect with atrial fibrillation: Management strategies. Ann Thorae Surg 1993; 55: 607–610 [DOI] [PubMed] [Google Scholar]
  • 7. Sandoval N, Velasco VM, Orjuela H, Caicedo V, Santos H, Rosas F, Correa JR, Melgarejo I, Morillo CA: Concomitant mitral valve or atrial septal defect surgery and the modified Cox‐maze procedure. Am J Cardiol 1996; 77: 591–596 [DOI] [PubMed] [Google Scholar]
  • 8. Kawaguchi AT, Kosakai Y, Sasako Y, Eishi K, Nakano K, Kawashima Y: Risks and benefits of combined maze procedure for atrial fibrillation associated with organic heart disease. J Am Coll Cardiol 1996; 28: 985–990 [DOI] [PubMed] [Google Scholar]
  • 9. Theodoro DA, Danielson GK, Porter CJ, Warnes CA: Right‐sided maze procedure for right atrial arrhythmias in congenital heart disease. Ann Thorae Surg 1998; 65: 149–154 [DOI] [PubMed] [Google Scholar]
  • 10. Pasic M, Musci M, Siniawski H, Edelmann B, Tedoriya T, Hetzer R: Transient sinus node dysfunction after the Cox‐maze III procedure in patients with organic heart disease and chronic fixed atrial fibrillation. J Am Coll Cardiol 1998; 32: 1040–1047 [DOI] [PubMed] [Google Scholar]
  • 11. Cox JL: Evolving applications of the maze procedure for atrial fibrillation. Ann Thorae Surg 1993; 55: 578–580 [DOI] [PubMed] [Google Scholar]

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