**1. Introduction**

A hybrid approach combines the treatments traditionally available only in the catheterization laboratory with those traditionally available only in the operative room in order to obtain maximum benefit from both procedures. The continuous evolution of transcatheter technology

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along with the adoption of minimally invasive surgical approaches make hybrid procedures an attractive alternative to conventional surgical or interventional techniques for a wide variety of cardiovascular diseases [1–3]. Angelini et al. reported the first case series of hybrid coronary artery revascularization in 1996 [4]. Since then, along with technological advancement, hybrid procedures are currently applied not only for coronary artery disease, but also for valvular heart disease, arrhythmia, congenital heart disease, aortic diseases, and peripheral vascular disease.

As a result of rapid evolution of transcatheter techniques, interventional cardiologists are playing a central role in the management of cardiovascular diseases. For a success of hybrid approach, a formulation of Heart Team combined with good collaboration between interventional cardiologists and cardiac surgeons is encouraged to facilitate patient management. The indications and patient selection for hybrid procedures need to be well discussed in Heart Team.
