Cox-Maze procedure

Doctors at Washington University School of Medicine in St. Louis are performing a new procedure to treat atrial fibrillation, a common irregular heartbeat. Available at only a handful of U.S. medical centers, this “hybrid” procedure combines minimally invasive surgical techniques with the latest advances in catheter ablation. The two-pronged approach gives doctors access to both the inside and outside of the heart at the same time, helping to more completely block the erratic electrical signals that cause atrial fibrillation.

This illustration of the Cox-Maze procedure shows the ablation lines in the left atrium.Heart surgeons at the School of Medicine have helped usher in a new era in the surgical treatment of atrial fibrillation. Using radiofrequency devices — rather than a scalpel — they’ve greatly shortened the surgery and made it significantly easier to perform. WUSM surgeon Ralph J. Damiano Jr. and colleagues have played a vital role in developing the devices, which deliver high-energy waves to heart tissue and very quickly create scars or ablations.

This illustration of the Cox-Maze procedure shows the ablation lines in the left atrium.Heart surgeons at Washington University School of Medicine in St. Louis have helped usher in a new era in the surgical treatment of atrial fibrillation. Using radiofrequency devices — rather than a scalpel — they’ve greatly shortened the surgery and made it significantly easier to perform. WUSM surgeon Ralph J. Damiano Jr. and colleagues have played a vital role in developing the devices, which deliver high-energy waves to heart tissue and very quickly create scars or ablations. More…