RT Journal Article SR Electronic T1 The Maze procedure: surgical therapy for refractory atrial fibrillation JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 161 OP 165 VO 60 IS 2 A1 Patrick M. McCarthy A1 Lon W. Castle A1 Richard G. Trohman A1 Tony W. Simmons A1 James D. Maloney A1 Allan L. Klein A1 Richard D. White A1 James L. Cox YR 1993 UL http://www.ccjm.org/content/60/2/161.abstract AB Although atrial fibrillation is well tolerated by most patients, in some patients the consequences may be severe. The Maze procedure is a new open-heart operation that creates a carefully designed maze of incisions in the atrial myocardium; this maze then acts as an electrical conduit to channel atrial impulses from the sinoatrial node to the atrioventricular node. The Maze procedure has been shown to restore sinus rhythm and atrial systole (thus reducing the risk of thromboembolism), improve hemodynamics, alleviate palpitations, and eliminate the need for antiarrhythmic and anticoagulant drugs. We describe our first patient to undergo this operation.