Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
Ann Cardiothorac Surg. 2014 Jan;3(1):105-16. doi: 10.3978/j.issn.2225-319X.2013.12.11.
The Cox-Maze IV procedure has replaced the "cut-and-sew" technique of the original Cox-Maze operation with lines of ablation created using bipolar radiofrequency (RF) and cryothermal energy devices. In select patients, this procedure can be performed through a right mini-thoracotomy. This illustrated review is the first to detail the complete steps of the Cox-Maze IV procedure performed through a right mini-thoracotomy with careful attention paid to operative anatomy and advice. Pre- and post-operative management and outcomes are also discussed. This should be a practical guide for the practicing cardiac surgeon.
Cox-Maze IV 手术程序用双极射频 (RF) 和冷冻能量设备创建的消融线取代了原始 Cox-Maze 手术的“切割和缝合”技术。在某些患者中，此程序可以通过右侧小开胸进行。这篇图文并茂的综述是第一篇详细介绍通过右侧小开胸进行 Cox-Maze IV 手术的完整步骤，特别注意手术解剖和建议。还讨论了术前和术后的管理和结果。这应该是心脏外科医生的实用指南。
