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J Thorac Cardiovasc Surg 2009;137:1036-1037
© 2009 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor

Alaaddin Yilmaz, MD, Bart P. van Putte, MD, PhD, Wim-Jan Van Boven, MD

Department of Cardiothoracic Surgery, Sint Antonius Hospital, Nieuwegein, The Netherlands

The first 20% of the full text of this article appears below.

The Cox maze III procedure remains the criterion standard for treatment of standalone atrial fibrillation (AF), as well as for AF with concomitant disorders; however, it has not gained widespread acceptance because of its invasive nature.1Go The questions arise of whether all the lesions are necessary to cure AF and whether it is necessary to expose all patients with AF to such a complex operation. Electrophysiologic studies have already identified the critical role of initiating foci, situated mainly at the orifices of the pulmonary veins.2Go There . . . [Full Text of this Article]






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