title: The Maze procedure: the LDS Hospital experience.
abstract: At our center we have encouraged consideration of the Maze procedure over noncurative therapies for atrial fibrillation, particularly in patients who have other indications for cardiac surgical intervention. As a result, 78 of the 99 Maze procedures we have performed since 1993 have involved combined procedures. These combined operations included procedures on 1 or more valves in 69 of 78 patients (88%). The unmodified "cut-and-sew" Maze-III technique was used in all patients. There has been no operative mortality, and the median postoperative stay has been 7 days. Cure of atrial fibrillation has been observed in 97% of patients, and pacemaker implantation was required for sick sinus syndrome in 6%. Our results favor broader use of the Maze procedure for symptomatic atrial fibrillation and support use of the original Maze-III technique as the procedure of choice.
authors.affiliation: Division of Cardiovascular and Thoracic Surgery, LDS Hospital, Salt Lake City, UT, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Arcidi
authors.forename: D B
authors.initials: DB
authors.lastname: Doty
authors.forename: R C
authors.initials: RC
authors.lastname: Millar
mesh_terms: D001281:Atrial Fibrillation / Q000503:physiopathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data; D006325:Heart Atria / Q000601:surgery; D006339:Heart Rate; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D018579:Patient Selection; D014589:Utah