Sie Hauw T, Beukema Willem P, Elvan Arif, Ramdat Misier Anand R
Department of Cardiothoracic Surgery, Isala Clinics, Hospital De Weezenlanden, Groot Wezenland 20, 8011 JW, Zwolle, The Netherlands.
Cardiovasc Res. 2003 Jun 1;58(3):501-9. doi: 10.1016/s0008-6363(03)00350-x.
In patients with longstanding atrial fibrillation surgical correction of the underlying cardiac abnormality alone will not abolish the arrhythmia. The Cox's Maze III has proven to be an effective treatment for atrial fibrillation but because of its complexity cardiac surgeons are reluctant to expose their patients to the potential risks of this procedure. Attempts have been made to simplify the Cox's Maze III procedure by using alternative energy sources and modifying the pattern of atrial lines of conduction block. In patients with atrial fibrillation without structural heart disease Maze surgery may be an option as an ultimate therapeutic alternative when atrial fibrillation is drug resistant and very symptomatic. The objective of this article is to outline the different surgical procedures that have formerly been used in the treatment of atrial fibrillation and to give an overview of new and evolving techniques.
对于长期心房颤动患者，仅对潜在心脏异常进行手术矫正并不能消除心律失常。Cox迷宫III手术已被证明是治疗心房颤动的有效方法，但由于其复杂性，心脏外科医生不愿让患者承受该手术的潜在风险。人们已尝试通过使用替代能源和修改心房传导阻滞线的模式来简化Cox迷宫III手术。对于无结构性心脏病的心房颤动患者，当心房颤动耐药且症状非常严重时，迷宫手术可能是一种最终的治疗选择。本文的目的是概述以前用于治疗心房颤动的不同手术方法，并对新出现和不断发展的技术进行综述。
