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Updated: Nov 26, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
A safe and secure approach for creating a box lesion in the left atrium
Shunei Saito1, Akio Matsuura1, Ken Miyahara1
1Division of Cardiovascular Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Aichi, Japan.
Abstract:
A bipolar radiofrequency clamp is an attractive alternative to the cut-and-sew technique for surgical ablation of atrial fibrillation. We have been using this device for isolating the posterior left atrium. However, there is a risk of disconnection of the ablation lines as well as perforation of the left atrium by the tip of the radiofrequency clamp. Here, we report our simple contrivance to make the procedure more secure and safe.

