Gillinov A Marc, Saltman Adam E
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk F24, Cleveland, OH 44195, USA.
Med Clin North Am. 2008 Jan;92(1):203-15, xii. doi: 10.1016/j.mcna.2007.08.004.
For cardiac surgery patients presenting with atrial fibrillation (AF), surgeons offer an operation that corrects the structural heart disease and the AF. With this approach, it is estimated that surgeons will perform more than 10,000 ablation procedures in 2007. Surgeons are developing minimally invasive techniques for stand-alone, epicardial ablation of AF. This article (1) reviews the rationale for surgical ablation of AF, (2) describes the classic maze procedure and its results, (3) details new approaches to surgical ablation of AF, (4) emphasizes the importance of management of the left atrial appendage, and (5) considers challenges and future directions in the ablation of AF.
对于患有心房颤动（AF）的心脏手术患者，外科医生会提供一种纠正心脏结构疾病和房颤的手术。通过这种方法，预计2007年外科医生将进行超过10000例消融手术。外科医生正在开发用于独立的心外膜房颤消融的微创技术。本文（1）回顾了房颤手术消融的基本原理，（2）描述了经典迷宫手术及其结果，（3）详细介绍了房颤手术消融的新方法，（4）强调了左心耳管理的重要性，（5）探讨了房颤消融中的挑战和未来方向。
