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Updated: Jun 13, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
[Selection of surgical treatments for atrial fibrillation]
1Department of Cardiovascular Surgery, Hiroshima University, Graduate School of Medicine, Hiroshima, Japan.
Abstract:
Radical procedure for elimination of atrial fibrillation (Af) was devised by Cox and named as maze procedure. The concept of maze procedure was interruption of all reentry circuits on both atria. Several modifications of maze procedure were performed. Among them, left atrial maze procedure suggested the mechanism of Af origination and open the door of catheter ablation of pulmonary veins. This article described the surgical procedures and indication of the original Cox maze procedure, left atrial maze procedure and the recent maze IV procedure.
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