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The maze procedure is the most effective surgical procedure for atrial fibrillation. In recent years, a number of different surgical ablation devices were introduced and gradually replaced the need for the procedure to be performed by using the cut-and-sew technique. In this article a new surgical approach is presented using a full maze IV lesion set, without atriotomies.

The multi–purse string maze procedure: A new surgical technique to perform the full maze procedure without atriotomies