The value of caval division in the maze procedure with valve surgery

Shinichi Mizutani, Akihiko Usui, Toshiaki Akita, Yuichi Ueda

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Operative predictors for successful elimination of atrial fibrillation (AF) following the maze procedure are not yet known. We have often divided the superior vena cava (SVC) during the maze procedure, not to eliminate AF but in order to explore the mitral valve. However, in multivariate analysis of 79 patients, the division of SVC, as well as the duration of AF, was found to be the strongest predictor of AF elimination. The explanation of this observation is not clear, but denervation of the cardiac autonomic nervous system or the existence of paroxysmal AF originating from the SVC could be involved.

Original languageEnglish
Pages (from-to)822-824
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Issue number5
Publication statusPublished - 01-11-2002
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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