Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

598
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
598
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

535
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
535
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

686
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
686
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

557
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
557
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

753
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
753
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

460
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
460

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of Proportionality of Secondary Tricuspid Regurgitation on Outcomes After Tricuspid Transcatheter Edge-to-Edge Repair.

Circulation. Cardiovascular interventions·2026
Same author

Treatment of infected endografts after thoracic endovascular aortic repair: a systematic review.

Science progress·2026
Same author

Understanding the Transvalvular Gradient in Aortic Stenosis: A Multifaceted Perspective.

Journal of clinical medicine·2025
Same author

Pulling the Plug and Rolling With the Leak: Occluder Removal and Tootsie Roll to Prevent Interaction.

JACC. Cardiovascular interventions·2025
Same author

Electrosurgical Laceration and Stabilization of a Failed Mitral Edge-to-Edge Device Before Transcatheter Mitral Valve Replacement: The Importance of a Trans-Septal Approach.

JACC. Case reports·2025
Same author

Ascending aortic aneurysm and dissection risk: focus on aortic height index.

Interdisciplinary cardiovascular and thoracic surgery·2025

Related Experiment Video

Updated: May 2, 2026

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
08:10

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation

Published on: July 20, 2022

2.8K

Maze surgery normalizes left ventricular function in patients with persistent lone atrial fibrillation.

Alberto Pozzoli1, Maurizio Taramasso2, Giuditta Coppola2

  • 1Department of Cardiothoracic Surgery, San Raffaele University Hospital, Milan, Italy albertopozzoli@gmail.com.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|March 7, 2014
PubMed
Summary

Maze surgery offers excellent mid-term outcomes for symptomatic refractory lone atrial fibrillation (AF). This procedure effectively relieves symptoms, improves heart function, and avoids lifelong pacemaker dependency.

Keywords:
ArrhythmiasAtrial fibrillation ablationCongestive heart failureElectrophysiologyMaze surgeryMinimally invasive surgeryTranscatheter ablation

More Related Videos

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

3.7K
Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
08:56

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

Published on: September 24, 2021

2.5K

Related Experiment Videos

Last Updated: May 2, 2026

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
08:10

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation

Published on: July 20, 2022

2.8K
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

3.7K
Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
08:56

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

Published on: September 24, 2021

2.5K

Area of Science:

  • Cardiovascular Surgery
  • Electrophysiology

Background:

  • Lone atrial fibrillation (AF) significantly impacts patient quality of life.
  • Refractory AF cases often present challenges for conventional treatments.
  • Symptomatic patients require effective interventions to restore normal sinus rhythm.

Purpose of the Study:

  • To evaluate the mid-term clinical and functional outcomes of maze surgery.
  • To assess the efficacy of maze surgery in patients with symptomatic refractory lone AF.
  • To determine the safety and effectiveness of maze procedures in improving cardiac function.

Main Methods:

  • 39 patients with symptomatic refractory lone AF underwent maze surgery (March 2008-January 2013).
  • Biatrial ablations utilized bipolar radiofrequency and cryoenergy.
  • Minimally invasive approaches were employed in 56% of cases.

Main Results:

  • High freedom from arrhythmias (92-93%) and without antiarrhythmic drugs (75-85%) at 24-36 months.
  • Significant improvement in ejection fraction (P < 0.001) in all patients, including those with reduced function.
  • Marked reduction in AF-related symptoms (93% to class I) and no reported strokes.

Conclusions:

  • Maze surgery in a dedicated AF center yields excellent outcomes with symptom relief and minimal risk.
  • The procedure effectively reverses arrhythmia-related myocardial dysfunction.
  • Maze surgery is a viable alternative to His bundle ablation and permanent pacemaker implantation for refractory AF.