{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T01:54:22Z","timestamp":1780106062055,"version":"3.54.0"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"13","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2000,4,4]]},"abstract":"<jats:p>\n            <jats:italic>Background<\/jats:italic>\n            \u2014If drug refractoriness to paroxysmal atrial fibrillation (PAF) occurs, arrhythmia surgery that involves channelling and the exclusion of specific atrial areas can abolish atrial fibrillation. The purpose of this study was to establish the effectiveness and safety of maze III surgery to abolish PAF.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods and Results<\/jats:italic>\n            \u2014Surgery was performed in 41 selected patients who had long-standing, symptomatic, drug-refractory, lone PAF. At discharge, 35 patients (85%) were arrhythmia free, and 6 patients (15%) showed PAF and paroxysmal atrial tachycardia. Death or stroke did not occur during a mean follow-up of 31\u00b116 months. At the end of follow-up, 39 patients (95%) had no PAF; however, in 2 patients (5%), PAF persisted and eventually required His bundle ablation and pacing. Three months after surgery, nodal escape rhythm was observed in only 1 patient, whereas sick-sinus syndrome emerged late after surgery in 2 patients. Antiarrhythmic drugs were used in 20% of patients during follow-up. The quality of life improved markedly after surgery and remained unchanged afterward. Echocardiographic findings did not alter, but exercise capacity increased.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            \u2014This pilot study demonstrates the effectiveness and safety of maze III surgery for lone PAF. In patients without sick-sinus syndrome, this intervention offers a sensible alternative to His bundle ablation and lifelong pacemaker dependency.\n          <\/jats:p>","DOI":"10.1161\/01.cir.101.13.1559","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:42:29Z","timestamp":1339461749000},"page":"1559-1567","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":51,"title":["Results of Maze Surgery for Lone Paroxysmal Atrial Fibrillation"],"prefix":"10.1161","volume":"101","author":[{"given":"Emile R.","family":"Jessurun","sequence":"first","affiliation":[{"name":"From the Departments of Cardiology (E.R.J, N.M.v.H., M.A.M.S., J.C.K., J.M.P.G.E.) and Cardiothoracic Surgery (J.A.M.T.D., A.B.d.l.R.), St Antonius Hospital, Nieuwegein, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert M.","family":"van Hemel","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiology (E.R.J, N.M.v.H., M.A.M.S., J.C.K., J.M.P.G.E.) and Cardiothoracic Surgery (J.A.M.T.D., A.B.d.l.R.), St Antonius Hospital, Nieuwegein, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo A. M. T.","family":"Defauw","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiology (E.R.J, N.M.v.H., M.A.M.S., J.C.K., J.M.P.G.E.) and Cardiothoracic Surgery (J.A.M.T.D., A.B.d.l.R.), St Antonius Hospital, Nieuwegein, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique A. M.","family":"Stofmeel","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiology (E.R.J, N.M.v.H., M.A.M.S., J.C.K., J.M.P.G.E.) and Cardiothoracic Surgery (J.A.M.T.D., A.B.d.l.R.), St Antonius Hospital, Nieuwegein, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes C.","family":"Kelder","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiology (E.R.J, N.M.v.H., M.A.M.S., J.C.K., J.M.P.G.E.) and Cardiothoracic Surgery (J.A.M.T.D., A.B.d.l.R.), St Antonius Hospital, Nieuwegein, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aart","family":"Brutel de la Rivie\u0300re","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiology (E.R.J, N.M.v.H., M.A.M.S., J.C.K., J.M.P.G.E.) and Cardiothoracic Surgery (J.A.M.T.D., A.B.d.l.R.), St Antonius Hospital, Nieuwegein, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jef M. P. G.","family":"Ernst","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiology (E.R.J, N.M.v.H., M.A.M.S., J.C.K., J.M.P.G.E.) and Cardiothoracic Surgery (J.A.M.T.D., A.B.d.l.R.), St Antonius Hospital, Nieuwegein, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(93)90982-I"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(94)90364-6"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.77.3.238"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00530-5"},{"key":"e_1_3_2_5_2","first-page":"183","volume":"140","year":"1962","unstructured":"Moe GK. On the multiple wavelet hypothesis of atrial fibrillation. Arch Int Pharmacodyn Ther. 1962;140:183\u2013188.","journal-title":"Arch Int Pharmacodyn Ther"},{"key":"e_1_3_2_6_2","unstructured":"Allessie MA Lammers WJEP Bonke FIM Hollen J. Experimental evaluation of Moe\u2019s multiple wavelets hypothesis of atrial fibrillation. In: Zipes DP Jalife J eds. Cardiac Electrophysiology and Arrhythmias. New York NY: Grune and Stratton; 1985:265\u201375."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.95.3.572"},{"key":"e_1_3_2_8_2","unstructured":"Guiraudon GM Guiraudon CM Klein GJ Yee R. Atrial fibrillation in the future: the surgeon\u2019s perspective. In: Murgatroyd FD Camm AJ eds. Nonpharmamacological Management of Atrial Fibrillation. Armonk NY: Futura Publishing Co; 1997:215\u2013237."},{"key":"e_1_3_2_9_2","unstructured":"Guiraudon GM Klein GJ Guiraudon CM Yee R. Treatment of atrial fibrillation: preservation of sinoventricular impulse conduction: the Corridor operation. In: Olsson SB Allessie MA Campbell RWF eds. Atrial Fibrillation: Mechanisms and Therapeutic Strategies. Armonk NY: Futura Publishing Co; 1994:349\u2013371."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90075-F"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(96)80413-1"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36684-X"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199609000-00003"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(97)00252-2"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90293-3"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a015176"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90312-R"},{"key":"e_1_3_2_18_2","doi-asserted-by":"crossref","unstructured":"van Hemel NM Defauw JJAM Kingma JH Jaarsma W Vermeulen FEE de Bakker JMT Guiraudon GM. Long-term results of the corridor operation for atrial fibrillation. Br Heart J. 1994;71:170\u2013176.","DOI":"10.1136\/hrt.71.2.170"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1998.1050"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_3_2_21_2","doi-asserted-by":"crossref","unstructured":"Recommendations and standard guidelines for exercise testing. Eur Heart J. 1988;9(suppl K):3\u201337.","DOI":"10.1093\/eurheartj\/9.suppl_K.32"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)81373-9"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(94)70147-4"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.77.1.50"},{"key":"e_1_3_2_25_2","first-page":"953","volume":"94","year":"1996","unstructured":"Elvin A, Wylie K, Zipes DP. Pacing-induced chronic atrial fibrillation in pairs sinus node function in dogs. Circulation. 1996;94:953\u2013960.","journal-title":"Circulation"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00358-1"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.91.9.2392"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1997.tb00618.x"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(73)90302-0"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(93)90593-P"},{"key":"e_1_3_2_31_2","unstructured":"Feinberg MS Waggoner AD Kater KM Cox JL Lindsay BD P\u00e9rez JE. Restoration of atrial function after the maze procedure for patients with atrial fibrillation: assessment by Doppler echocardiography. Circulation. 1994;90(part 2):II-285\u2013II-92."},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1991.03470140088029"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(96)00275-6"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00058-8"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(12)70085-5"}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.CIR.101.13.1559","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T12:57:25Z","timestamp":1715518645000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.CIR.101.13.1559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,4,4]]},"references-count":35,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2000,4,4]]}},"alternative-id":["10.1161\/01.CIR.101.13.1559"],"URL":"https:\/\/doi.org\/10.1161\/01.cir.101.13.1559","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,4,4]]},"assertion":[{"value":"1999-08-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1999-11-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-04-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}