title: Proposal for a novel concept of a hybrid, minimally invasive cardiovascular surgical practice.
abstract: BACKGROUND
  : Due to the increase in new Interventional cardiovascular technologies, traditional lines of division between the interventional and surgical aspects are expected to blur, with these procedures modified and adopted into cardiovascular surgical practice. This proposal introduces new concepts and visions for such new devices and procedures.
  
  
  METHODS
  : I-Precision PlanningII-Examples of Proposed DevicesIII-Examples of Proposed Procedures
  
  
  RESULTS
  : Over the past few years there has been a growing sense of anxiety about new interventional devices in the cardiovascular surgical community. As physicians, our main task is to formulate simpler, more effective and safer solutions to clinical problems; and as surgeons, we "devise mechanical solutions to clinical problems."
  
  
  CONCLUSIONS
  : Nowadays, there is an urgent need for the cardiovascular surgical community to rediscover and reinvent itself. We should see these new innovations as exciting new ideas and tools that we can "modify, simplify and apply" to revitalize our own practice.
authors.affiliation: Hisham M.F. Sherif, MD, Dept. of Cardiovascular Surgery, Christiana Hospital, Newark, Delaware, USA, President, ALDAR, Inc., Houston, Texas, USA.
authors.forename: Hisham M F
authors.initials: HM
authors.lastname: Sherif