Lawrance Christopher P, Henn Matthew C, Damiano Ralph J
Division of Cardiothoracic Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8234, St Louis, MO 63110, USA.
Division of Cardiothoracic Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8234, St Louis, MO 63110, USA.
Cardiol Clin. 2014 Nov;32(4):563-71. doi: 10.1016/j.ccl.2014.07.003. Epub 2014 Oct 23.
Atrial fibrillation is the most common cardiac arrhythmia, and its treatment options include drug therapy or catheter-based or surgical interventions. The surgical treatment of atrial fibrillation has undergone multiple evolutions over the last several decades. The Cox-Maze procedure went on to become the gold standard for the surgical treatment of atrial fibrillation and is currently in its fourth iteration (Cox-Maze IV). This article reviews the indications and preoperative planning for performing a Cox-Maze IV procedure. This article also reviews the literature describing the surgical results for both approaches including comparisons of the Cox-Maze IV to the previous cut-and-sew method.
心房颤动是最常见的心律失常，其治疗选择包括药物治疗、基于导管的干预或手术干预。在过去几十年中，心房颤动的外科治疗经历了多次演变。Cox迷宫手术已成为心房颤动外科治疗的金标准，目前已发展到第四代（Cox迷宫IV代）。本文回顾了进行Cox迷宫IV代手术的适应症和术前规划。本文还回顾了描述两种手术方法结果的文献，包括Cox迷宫IV代与之前的切割缝合方法的比较。
