title: Over the next hill.
abstract: In the tradition of Dr Arom, who had many interests in his clinical and research career, I will touch on three things that will impact the practice of clinical cardiac surgery over the next several years: use of bilateral internal mammary arteries, use of external mesh support to improve saphenous vein graft patency, and anticoagulation of mechanical heart valves. The remainder of the presentation goes into depth on the development of a bloodless heart surgery program, which is contemporary and timely as it encompasses some thoughts of this society.
authors.affiliation: HealthEast Care System, Saint Joseph's Hospital, St Paul, MN 55102, USA. remery1513@aol.com
authors.forename: Robert W
authors.initials: RW
authors.lastname: Emery
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Cooper
authors.forename: David L
authors.initials: DL
authors.lastname: Joyce
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*