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In neonates with the most severe form of Ebstein anomaly, the functional right ventricle is hypoplastic, and the patient is usually best treated by closing the tricuspid valve and, in effect, creating a tricuspid atresia physiology (Starnes procedure). In addition, these infants require a systemic arteryâtoâpulmonary artery shunt.
Aetna considers minimally invasive, off-pump Maze procedures, also known as thoracoscopic off-pump surgical ablation (TOPS), experimental and investigational for atrial fibrillation or flutter because there is insufficient evidence of their effectiveness. See also CPB 0019 - Holter Monitors.The Maze procedure is a surgical treatment of atrial fibrillation (AF) in which multiple atrial incisions interrupt the pathogenic reentrant circuits and also direct the sinus impulses to the AV node along a specified route.etna considers minimally invasive, off-pump Maze procedures, also known as thoracoscopic off-pump surgical ablation (TOPS), experimental and investigational for atrial fibrillation or flutter because there is insufficient evidence of their effectiveness. See also CPB 0019 - Holter Monitors.