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Thorac Cardiovasc Surg 2019; 67(02): 117-119
DOI: 10.1055/s-0037-1601561
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

Box Lesion with Single Radiofrequency Clamp

Kasra Shaikhrezai
1   Department of Cardiothoracic Surgery, Chesterman Wing, Northern General Hospital, Sheffield, United Kingdom
,
Cristiano Spadaccio
2   Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, United Kingdom
,
Steven Hunter
1   Department of Cardiothoracic Surgery, Chesterman Wing, Northern General Hospital, Sheffield, United Kingdom
› Author Affiliations
Further Information

Publication History

25 January 2017

02 March 2017

Publication Date:
12 April 2017 (online)

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Abstract

We introduce a maneuver to perform the box lesion as a part of Cox maze IV procedure with single radiofrequency clamp. The maneuver entails engaging the right pulmonary veins with the clamp, then advancing the clamp jaws underneath the superior vena cava through the transverse sinus to include the roof and the left pulmonary veins in the clamp. We regularly use this technique for box lesion with desirable transmurality.

Keywords

Cox maze VI - radiofrequency ablation - atrial fibrillation

Author Contributions

Kasra Shaikhrezai: Concept/design, data analysis/interpretation, drafting article.


Cristiano Spadaccio: Critical revision of article, figure and schemes production/organization.


Steven Hunter: Data collection, data analysis/interpretation, approval of article.


 

  • References

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