Concomitant coronary artery disease (CAD) and valvular heart disease is an increasingly common problem in the ageing population. Hybrid procedures combine surgical and transcatheter approaches to facilitate minimally invasive surgery or to transform a single highrisk open surgery into two less risky procedures. In ideal circumstances, this strategy may decrease the surgical risk in elderly, high-risk and reoperative surgical candidates, while improving patient comfort, convenience and cost-effectiveness. Hybrid procedures can be performed in a staged fashion or as a 'one-stop' procedure in a hybrid operating suite. Increasing evidence supports the safety and shortterm efcacy of hybrid valve repair or replacement and coronary revascularisation procedures. Nevertheless, important questions remain, including the optimal timing of the individual procedures and the optimal antiplatelet therapy after percutaneous coronary intervention. With ongoing advances in procedural techniques and anticoagulation strategies, as well as the accumulation of long-term outcomes data, hybrid approaches to concomitant CAD and valvular heart disease will likely become increasingly common.
Kendra J Grubb - Division of Cardiothoracic Surgery, College of Physicians and Surgeons
Tamim Nazif - Division of Cardiology, Columbia University Medical Center, New York, US
Mathew R Williams - Division of Cardiothoracic Surgery, College of Physicians and Surgeons; Division of Cardiology, Columbia University Medical Center, New York, US
Isaac George - Division of Cardiothoracic Surgery, College of Physicians and Surgeons
