Heart surgeons with Lancaster General Health Physicians Cardiothoracic Surgery expertly perform the Maze procedure to treat an arrhythmia that occurs along with other heart conditions. Our nationally recognized cardiothoracic surgeons have advanced fellowship training and expertise in complex heart surgeries like the Maze procedure.

What Is a Maze Procedure?

The Maze procedure (also called the Cox-Maze procedure) is a type of open-chest heart ablation treatment for atrial fibrillation (A-Fib). Heart ablations use extreme heat (radiofrequency) or cold (cryoablation) to destroy the heart cells that cause an irregular heartbeat or arrhythmia. Most heart ablations take place through catheters (thin, flexible tubes) threaded through a blood vessel to your heart.

We also offer minimally invasive Maze, or mini-Maze, procedures. These procedures involve smaller incisions and don’t require the use of a heart-lung bypass machine. Surgeons use heart-lung bypass machines to pump oxygenated body throughout the body when they need to stop your heart.

Why You Might Need a Maze Procedure

A Maze procedure takes place while you’re undergoing cardiothoracic surgery to treat heart valve disease or another heart condition. Our experienced cardiothoracic surgeons treat both heart conditions at the same time so you don’t have to undergo multiple procedures.

While your chest is open, our surgeons use a scalpel or hot or cold energy to cut a maze-like pattern in the heart tissue where the arrhythmia originates. Once healed, the scarred tissue can’t send the faulty electric signals that caused the arrhythmia.

Our surgeons also seal off the opening to the left atrial appendage (LAA). When you have A-Fib, blood can pool and clot in this small pouch in your heart. Closing off the LAA prevents blood clots from entering your bloodstream where they can cause a life-threatening stroke.

Maze Procedures: The Penn Medicine Lancaster General Health Advantage

Our heart surgeons perform the Maze procedure in one of the Lancaster region’s only hybrid operating rooms (OR). This OR combines the capabilities of a cardiac catheterization lab with a heart surgery operating room.

We also offer:

  • Team approach to cardiac care: Our cardiothoracic surgeons, electrophysiologists and cardiologists work together to treat all heart conditions. We specialize in the latest techniques and technologies to improve your heart health.
  • Cutting-edge heart-mapping technology: Before you get the Maze procedure, our electrophysiologists perform EP studies to pinpoint the source of the faulty signals. Our heart surgeons use this information to precisely treat the targeted areas while protecting surrounding healthy heart tissue.
  • Comprehensive heart rhythm treatments: If an ablation isn’t right for you, we offer all types of arrhythmia treatments. You may benefit from a pacemaker, leadless pacemaker, implantable cardioverter defibrillator (ICD) or cardioversion.
  • Promising new therapies: Our doctors actively lead and participate in heart and vascular clinical trials and research. You may be able to try a new heart treatment not widely available to the public.
  • Cardiac rehab program: Our comprehensive cardiac rehab program can help you recover faster and improve your quality of life after a Maze procedure. It can also help you reduce your risk for future heart problems. Learn more about cardiac rehab and vascular rehab.

Contact Us

To learn more about the Maze procedure, call 717-544-8300.

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