Related Experiment Video
Updated: Nov 6, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Robotic assisted cryothermic biatrial Cox-Maze
Harold G Roberts1, Lawrence M Wei1, Ankit Dhamija1
1Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, West Virginia, USA.
Introduction:
Robotic cryothermic Cox-Maze (CM) IV is a minimally invasive procedure that reliably replicates the biatrial lesion set of the CM III by utilizing cryothermia as a single power source.
Methods:
Herein we describe a step by step creation of the biatrial CM III lesion sets utilizing the minimally invasive robotic platform.
Results:
Technical details are reviewed for this single incision, single stage, highly effective option for stand-alone or concomitant surgical ablation of atrial fibrillation (AF).
Conclusion:
Robotic cryothermic CM IV can be safely performed as a stand-alone or concomitant procedure, and offers a comprehensive surgical ablation solution for patients with AF.

