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At discharge, 1year, 5years after the surgery, sinus rhythm was maintained in 74.4%, 61%, and 40.5% of the Maze group. In contrast, it was maintained in 93.7%, 88.9%, and 75.7% of the Maze with GP ablation group. The cumulative freedom rate from AF at 10years after surgery was significantly higher in the Maze with GP ablation group. More intense PV isolation including adjacent GP may improve long-term results of maze procedure in patients with permanent AF. More intense PV isolation including adjacent GP may improve long-term results of
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