{"schema_version":"bookimed.page-context.v1","id":"clinic-washu-barnes-jewish","url":"https://hub.bookimed.com/heart-surgery/clinic-washu-barnes-jewish/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-washu-barnes-jewish.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"clinic-profile","title":"WashU Medicine / Barnes-Jewish Hospital: heart surgery expertise","summary":"WashU’s cardiac service includes minimally invasive atrial-fibrillation and valve surgery. Its historical Cox-Maze IV cohort gives a view of recurrence over years, including patients with persistent AF and previous catheter-ablation failure.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"A defined surgical rhythm service","text":"Ali Khiabani’s current profile lists minimally invasive AF surgery and valve surgery at Barnes-Jewish.","sources":["SP10"]},{"label":"853 patients in the historical cohort","text":"The 2003–2018 series included 60% nonparoxysmal AF and 24% with previous catheter-ablation failure.","sources":["SP19"]},{"label":"Long-term results have denominators","text":"Freedom from atrial tachyarrhythmia was 84% of 253 assessed at five years and 77% of 87 assessed at ten years.","sources":["SP19"]}],"benefits":[{"text":"A current surgical AF service is paired with long-term institutional rhythm follow-up that includes patients with previous catheter-ablation failure.","sources":["SP10","SP19"]}],"limitations":[{"text":"This was not a randomized comparison with catheter ablation, and follow-up denominators decline. The 853 historical operations must not be presented as Khiabani’s personal case volume.","sources":["SP10","SP19"]}],"sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","text":"Clinical benefits and limitations Potential advantages A current surgical AF service is paired with long-term institutional rhythm follow-up that includes patients with previous catheter-ablation failure. Sources: Ali J. Khiabani, MD, MHA — physician profile · The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation. Trade-offs and limits This was not a randomized comparison with catheter ablation, and follow-up denominators decline. The 853 historical operations must not be presented as Khiabani’s personal case volume. Sources: Ali J. Khiabani, MD, MHA — physician profile · The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation.","links":[{"label":"Ali J. Khiabani, MD, MHA — physician profile","url":"https://physicians.wustl.edu/people/ali-j-khiabani-md-mha/"},{"label":"The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation.","url":"https://pubmed.ncbi.nlm.nih.gov/32563577/"},{"label":"Ali J. Khiabani, MD, MHA — physician profile","url":"https://physicians.wustl.edu/people/ali-j-khiabani-md-mha/"},{"label":"The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation.","url":"https://pubmed.ncbi.nlm.nih.gov/32563577/"}]},{"id":"specialists","title":"Specialists and their clinical work","text":"Specialists and their clinical work AJ St. Louis, Missouri · United States cardiac surgeon Ali J. Khiabani → Ali Khiabani is a WashU cardiac surgeon whose practice includes minimally invasive atrial-fibrillation and valve surgery. His research examines how rhythm results change over time after Cox-Maze IV. WashU Medicine / Barnes-Jewish Hospital → Sources: Ali J. Khiabani, MD, MHA — physician profile · The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation. View expertise and research →","links":[{"label":"Ali J. Khiabani →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-khiabani/"},{"label":"WashU Medicine / Barnes-Jewish Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-washu-barnes-jewish/"},{"label":"Ali J. Khiabani, MD, MHA — physician profile","url":"https://physicians.wustl.edu/people/ali-j-khiabani-md-mha/"},{"label":"The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation.","url":"https://pubmed.ncbi.nlm.nih.gov/32563577/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-khiabani/"}]},{"id":"evidence","title":"Procedure-specific research","text":"Procedure-specific research Read alongside Ali J. Khiabani’s profile → Historical Cox-Maze IV programme evidence The study covers 853 operations from 2003–2018, with follow-up extending to ten years. Nonparoxysmal AF and larger left atrial size were among predictors of later recurrence. How to interpret this: This is a historical WashU cohort, not 853 operations by Khiabani. His clinical fellowship finished in 2024. Follow-up denominators shrink and the paper does not randomize Maze against catheter ablation; it cannot establish comparative superiority. Sources: The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation.","links":[{"label":"Ali J. Khiabani’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-khiabani/"},{"label":"The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation.","url":"https://pubmed.ncbi.nlm.nih.gov/32563577/"}]}],"introduction":"Heart surgery guide / WashU Medicine / Barnes-Jewish Hospital WashU Medicine / Barnes-Jewish Hospital · Decision guide WashU Medicine / Barnes-Jewish Hospital: heart surgery expertise St. Louis, Missouri, United States · Maze surgery with long-term rhythm follow-up Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance WashU’s cardiac service includes minimally invasive atrial-fibrillation and valve surgery. Its historical Cox-Maze IV cohort gives a view of recurrence over years, including patients with persistent AF and previous catheter-ablation failure. A defined surgical rhythm service Ali Khiabani’s current profile lists minimally invasive AF surgery and valve surgery at Barnes-Jewish. Sources: Ali J. Khiabani, MD, MHA — physician profile 853 patients in the historical cohort The 2003–2018 series included 60% nonparoxysmal AF and 24% with previous catheter-ablation failure. Sources: The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation. Long-term results have denominators Freedom from atrial tachyarrhythmia was 84% of 253 assessed at five years and 77% of 87 assessed at ten years. Sources: The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation. Plaza West Tower at Barnes-Jewish Hospital, published by WashU Medicine in September 2025. Photo courtesy of Barnes-Jewish Hospital. · Image source ↗","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"heart-rhythm-surgery","title":"Atrial fibrillation surgery: Maze, ablation and appendage closure","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/heart-rhythm-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-rhythm-surgery.json"},{"id":"doctor-ali-khiabani","title":"Ali J. Khiabani: Maze and surgical atrial fibrillation treatment","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-khiabani/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-ali-khiabani.json"}],"entity":{"id":"washu-barnes-jewish","name":"WashU Medicine / Barnes-Jewish Hospital — Cardiac and Rhythm Surgery","country":"United States","city":"St. Louis, Missouri","surgeon_ids":["ali-khiabani"],"source_attested_services":["surgical atrial fibrillation treatment","minimally invasive AF surgery","valve surgery"],"patient_task_fit":"Maze surgery with long-term rhythm follow-up","value_headline":"Maze surgery with long-term rhythm follow-up","value_summary":"WashU’s cardiac service includes minimally invasive atrial-fibrillation and valve surgery. Its historical Cox-Maze IV cohort gives a view of recurrence over years, including patients with persistent AF and previous catheter-ablation failure.","highlights":[{"label":"A defined surgical rhythm service","text":"Ali Khiabani’s current profile lists minimally invasive AF surgery and valve surgery at Barnes-Jewish.","source_ids":["SP10"]},{"label":"853 patients in the historical cohort","text":"The 2003–2018 series included 60% nonparoxysmal AF and 24% with previous catheter-ablation failure.","source_ids":["SP19"]},{"label":"Long-term results have denominators","text":"Freedom from atrial tachyarrhythmia was 84% of 253 assessed at five years and 77% of 87 assessed at ten years.","source_ids":["SP19"]}],"comparison_question":"","source_ids":["SP10","SP19"],"bookimed_route":null,"official_url":"https://physicians.wustl.edu/people/ali-j-khiabani-md-mha/","topic_slugs":["heart-rhythm-surgery"],"guide_links":[{"slug":"heart-rhythm-surgery","label":"Maze and rhythm surgery"}],"topics":["rhythm"],"profile_slug":"clinic-washu-barnes-jewish","photo":{"source_page":"https://medicine.washu.edu/news/barnes-jewish-hospital-unveils-state-of-the-art-patient-care-tower/","width":700,"height":393,"alt":"Exterior of Plaza West Tower at Barnes-Jewish Hospital","caption":"Plaza West Tower at Barnes-Jewish Hospital, published by WashU Medicine in September 2025. Photo courtesy of Barnes-Jewish Hospital.","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/washu-barnes-jewish.jpg"},"comparison_answer":"A current surgical AF service is paired with long-term institutional rhythm follow-up that includes patients with previous catheter-ablation failure.","key_takeaways":[{"label":"A defined surgical rhythm service","text":"Ali Khiabani’s current profile lists minimally invasive AF surgery and valve surgery at Barnes-Jewish.","sources":["SP10"]},{"label":"853 patients in the historical cohort","text":"The 2003–2018 series included 60% nonparoxysmal AF and 24% with previous catheter-ablation failure.","sources":["SP19"]},{"label":"Long-term results have denominators","text":"Freedom from atrial tachyarrhythmia was 84% of 253 assessed at five years and 77% of 87 assessed at ten years.","sources":["SP19"]}],"benefits":[{"text":"A current surgical AF service is paired with long-term institutional rhythm follow-up that includes patients with previous catheter-ablation failure.","sources":["SP10","SP19"]}],"limitations":[{"text":"This was not a randomized comparison with catheter ablation, and follow-up denominators decline. The 853 historical operations must not be presented as Khiabani’s personal case volume.","sources":["SP10","SP19"]}],"patient_sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"specialists","title":"Specialists and their clinical work","paragraphs":[],"items":[],"sources":[],"kind":"clinic-doctors","links":[],"table":null},{"id":"evidence","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"clinic-evidence","links":[],"table":null}]},"sources":{"SP10":{"title":"Ali J. Khiabani, MD, MHA — physician profile","publisher":"WashU Medicine","url":"https://physicians.wustl.edu/people/ali-j-khiabani-md-mha/","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/recovered-official-web.json","supports":"Current assistant professor, cardiac surgeon at Barnes-Jewish, minimally invasive AF/valve surgery; research in arrhythmia surgery and outcomes; 2024 cardiothoracic fellowship.","limitations":"Direct HTTP returned 403; complete relevant body recovered with web reader. No personal Maze annual volume or long-term rate is reported."},"SP19":{"title":"The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation.","publisher":"The Journal of thoracic and cardiovascular surgery","url":"https://pubmed.ncbi.nlm.nih.gov/32563577/","read_at":"2026-10-08","published_at":"2020-05-05","doi":"10.1016/j.jtcvs.2020.04.100","pmid":"32563577","source_kind":"primary-research-abstract","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/pmid-32563577.json","supports":"WashU Cox-Maze IV programme 853 operations during 2003–2018; Khiabani first author; rhythm durability and recurrence predictors.","limitations":"Historical programme cohort, not operations by Khiabani. Follow-up denominators shrink; no randomized comparison with catheter ablation; long-term freedom-from-arrhythmia is not cure."}}}