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asiseeit/iStockphoto. A maze procedure is a surgery used to control atrial fibrillation, or a-fib, a heart condition where the heart rhythm is irregular. If it can't be controlled by medication or other treatments, a maze procedure may be an appropriate treatment.
Thorascopic off-pump (TOP) surgical ablation (also known as mini Maze procedure, absent thoracotomy Maze procedure) is performed on a beating heart -- the heart is not arrested via bypass.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.