Heart and aortic team. Modern management in «hybrid room era»

The pioneering efforts of Dubost, Cooley, DeBakey, Crawford, Parodi, Dake et al. have been characterized by remarkable and sustained progress in surgery of the aorta. The cited Surgeons defi ned the technical excellence needed to reduce operative mortality for our patient. As a consequence of their eff orts, today Surgeons can better assess operative risk and greatly reduce operative morbidity and mortality. The term “Hybrid Room” refers essentially to the co-localization of advanced imaging equipment in an operating room. Because the imaging demands for longer and more complex aortic procedures, fixed imaging suites, traditionally the province of cardiologists and interventional radiologists, have become commonplace within the operative environment. Common referred to as a “Hybrid Room”, this space allows for open surgical procedures and catheter interventions to be satisfactorily performed in the same suite. Moreover, more complex, hybrid procedures with open and endovascular components can be planned and executed seamlessly in this type of settings. An interdisciplinary treatment strategy (AORTIC TEAM) was developed between Vascular Surgeons, Cardiac Surgeons, Cardiologists, Radiologists and Anesthesiologists based on the common interest for a patient tailored treatment, both in acute and chronic setting.