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Eur J Cardiothorac Surg 2004;26:S4-S7
© 2004 Elsevier Science NL

Review

The future of coronary bypass surgery

Cardiac Surgery Department, Gasthuisberg University Hospital, Herestraat 49, B-3000 Leuven, Belgium

^* Tel.: +32 16 344339; fax: +32 16 344616. (Email: paul.sergeant{at}uz.kuleuven.ac.be).

A strength and weakness analysis is made of the current coronary surgery practice and integrated in the socio-economic and legal changes. This analysis identifies important issues for the stability of a cardio-surgical unit. Current literature studying economic survival and innovation propose a disruptive strategy as most likely towards economic survival versus an incremental strategy. A disruptive strategy is then proposed for the survival of coronary surgery; implementing this in most units will demand an unprecedented openness of mind.

Key Words: CABG • Strengths • Weaknesses • Future • Reengineering