Cox’s Surgical Treatment of Atrial Fibrillation, 1st Edition

Section I Background and Fundamentals
1. A History of Cardiac Arrhythmia Surgery
2. Epidemiology and Economics of Atrial Fibrillation
3. Cardiac Anatomy Pertinent to Atrial Fibrillation Surgery
4. Electrophysiologic Concepts Basic to the Understanding of How to Treat Atrial Fibrillation by Surgical or Catheter Intervention
5. Clinical Electrophysiology of Atrial Flutter and Atrial Fibrillation Pertinent to Interventional Therapy
6. Electrophysiologic Mapping of Atrial Fibrillation
7. The Basics of Myocardial Strain and Its Relationship to Atrial Fibrillation
8. Atrial Remodeling: Atrial Fibrillation Begets Atrial Fibrillation

Section II Evolution of Surgery for Atrial Fibrillation
9. Arrhythmia Surgery Prior to Atrial Fibrillation Surgery
10. Principles and Goals that Govern the Interventional Treatment of Atrial Fibrillation
11. Atrial Fibrillation Surgery Prior to the Maze Procedure
12. Development and Evolution of the Maze Procedure for Atrial Fibrillation
13. Importance of the Right Atrial Lesions in the Maze Procedure
14. Conversion from the Cut-and-Sew Maze-III Procedure to the Minimally Invasive CryoMaze-III Procedure
15. Modification of the CryoMaze-III Procedure
16. Robotic Maze-III Procedure
17. Maze-IV Procedure
18. When and How to Downsize the Left Atrium
19. When is a Maze Procedure a Maze Procedure?
20. Lesion Integrity, Energy Sources, Ablation Devices and Intraoperative Testing
21. The Maze Procedure and Postoperative Pacemakers
22. Effects of the Maze Procedure on Left Atrial Transport Function

Section III Surgery for Concomitant AF Ablation During Cardiac Surgery
23. Incidence of Concomitant Atrial Fibrillation and Benefits of Concomitant Ablation
24. Current American and European Guidelines for Atrial Fibrillation Surgery
25. Surgical Options for the Treatment of Concomitant Atrial Fibrillation
26. How I do it: Atrial Fibrillation Ablation plus Coronary Artery Bypass Grafting
27. How I do it: Atrial Fibrillation Ablation plus Mitral Valve Surgery plus/minus Tricuspid Valve Surgery plus/minus Coronary Artery Bypass Grafting
28. How I do it: Minimally Invasive Atrial Fibrillation Ablation plus Mitral Valve Surgery plus/minus Tricuspid Valve Surgery
29. How I do it: Atrial Fibrillation Ablation plus Aortic Valve Surgery plus/minus Aortic Aneurysm Surgery
30. Ganglionic Plexus Ablation

Section IV Surgery for Stand-Alone Atrial Fibrillation
31. Results of Catheter Ablation for Stand-Alone Atrial Fibrillation
32. Thoracoscopic Left Atrial Modified Maze Procedure for Stand-Alone Atrial Fibrillation
33. An Overview of Hybrid Procedures for Stand-Alone Atrial Fibrillation
34. Thoracoscopic Map-Guided Hybrid Procedure for Stand-Alone Atrial Fibrillation
35. Thoracoscopic Non-Maze Hybrid Procedure for Stand-Alone Atrial Fibrillation
36. The Convergent Hybrid Procedure for Stand-Alone Atrial Fibrillation
37. A Complete Hybrid Maze Procedure for Stand-Alone Atrial Fibrillation
38. Minimally Invasive CryoMaze-III Procedure for Stand-Alone Atrial Fibrillation
39. A Cardiac Surgeon/Interventional Electrophysiologist’s Perspective on the Treatment of Stand-Alone Atrial Fibrillation

Section V Management of the Left Atrial Appendage
40. Overview of the Surgical Management of the Left Atrial Appendage
41. Anatomy and Physiology of the Left Atrial Appendage
42. Neurohormonal Consequences of Left Atrial Appendage Closure
43. Effect of Left Atrial Appendage Occlusion on Left Atrial Function and Electrophysiology
44. The AtriClip Device and Long-Term Results of Left Atrial Appendage Closure
45. Thoracoscopic Atriclip Closure of the Left Atrial Appendage
46. Randomized Clinical Trials of Left Atrial Appendage Closure

Section VI Management of Postoperative Arrhythmias
47. Postoperative Atrial Fibrillation
48. Postoperative Peri-Mitral Atrial Flutter
49. Postoperative Anti-Arrhythmic Drugs and Anticoagulation

Section VII Future Directions
50. The Future of Left Atrial Appendage Management
51. The Future of Concomitant Atrial Fibrillation Ablation
52. The Future of Stand-Alone Atrial Fibrillation Ablation

James Cox, Cardiac Surgeon and Director of Atrial Fibrillation Program, Professor of Surgery, Northwestern University, USA, S. Chris Malaisrie, Cardiac Surgeon and Director of Academic Affairs, Professor of Surgery, Northwestern University, USA and Patrick M. McCarthy, Cardiac Surgeon and Executive Director, Bluhm Cardiovascular Institute, Professor of Surgery, Northwestern University, USA