The MAZE surgical treatment has proved to be very effective for curing arrhythmia, regardless of the severity of the condition. Nevertheless, before undergoing this intervention in one of our LA locations, Dr. Alexander Marmureanu will ask you to go through a series of tests and examination procedures in order to thoroughly assess your condition and overall health. Some of the following tests will thus be required prior to the MAZE surgery:
The date of the procedure will be set after you have been deemed eligible for MAZE surgery. On the day of the surgery, you will first be put under general anesthesia by the team at the California Heart & Lung Surgery Center, irrespective of the treatment approach used (open-heart or minimally invasive). An incision or, if you undergo minimally invasive surgery, several small cuts will be made in your chest bone to allow us access to your heart. The tissue of your atria will be subsequently scarred in multiple places using one of the following techniques, depending on the particularities of your condition:
Scar tissue is unable to conduct electrical activity in your heart. Consequently, the electrical signals will go through a path (or maze, hence the name of this procedure) of scar tissue towards the ventricles (the lower chambers of the heart) following surgery, which will regulate the electrical activity of your heart, eliminating thus the cause of the arrhythmia. After the intervention is completed, your incision will be closed with stitches and a sterile dressing will cover your wound to avoid infection until it heals.
The MAZE surgical treatment approach is preponderantly employed for patients suffering from severe atrial fibrillation, a condition which often requires surgery to prevent serious complications such as strokes and improve the quality of life.
Patients in the following categories may be the perfect candidates for MAZE surgery:
Once your arrhythmia surgery is completed, you will be moved to the intensive care unit, where medical professionals will permanently monitor your vital signs for 2 or 3 days. You will generally need to spend 7 to 10 days hospitalized until you partially recover. Shortly after the effects of anesthesia wear off, you will begin to feel pain and discomfort in your chest, ribs, and shoulders, which is completely normal within the first week. In order to alleviate your symptoms and avoid postoperative complications, you will be administered the following medication during your hospital stay:
You will also be intubated for the first few days. Multiple tubes will be attached to various regions of your body, such as:
Complete recovery is typically achieved in 2 months. However, after your discharge from the hospital, you will be highly encouraged to take into consideration the following recommendations, so that you will experience a faster recovery and maintain the health of your heart: