Combined percutaneous coronary intervention and valve surgery.
OBJECTIVE
This article reviews unique advantages emerging in valvular heart disease as the technology of invasive cardiology and cardiac surgery begin to merge.


RESULTS
Minimally invasive valve surgery is increasing in popularity and has helped to reduce morbidity. In addition, preoperative or intraoperative treatment of coronary artery disease by a percutaneous approach has simplified operations and allowed more liberal use of non-traditional incisions.


CONCLUSIONS
Percutaneous intervention with drug-eluting stents has provided early evidence for decreased restenosis and improved long-term patency rates. At the same time, cardiac surgery has moved toward less invasive approaches performed in new imaging arenas known as 'hybrid' operating rooms. Combining these technological advances is providing unique solutions to valvular heart disease also requiring revascularization, and will likely become the next horizon for strategies in cardiovascular medicine.
Greelish
James P
JP
Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232-8815, USA.
Ailiwadi
Maneesh
M
Balaguer
Jorge M
JM
Ahmad
Rashid M
RM
Zhao
David X
DX
Petracek
Michael R
MR
Byrne
John G
JG
D006328:Cardiac Catheterization / Q000379:methods; D003131:Combined Modality Therapy / Q000401:mortality; D003327:Coronary Disease / Q000401:mortality / Q000601:surgery*; D006349:Heart Valve Diseases / Q000401:mortality / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009204:Myocardial Revascularization / Q000379:methods*; D013249:Sternum / Q000601:surgery; D015996:Survival Rate