title: Illustrated techniques for performing the Cox-Maze IV procedure through a right mini-thoracotomy.
abstract: 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.
authors: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
authors: Jason O
authors: JO
authors: Robertson
authors: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
authors: Lindsey L
authors: LL
authors: Saint
authors: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
authors: Jeremy E
authors: JE
authors: Leidenfrost
authors: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
authors: Ralph J
authors: RJ
authors: Damiano
keywords: Atrial fibrillation (AF); Cox-Maze IV; right mini-thoracotomy