Figure 3
Intraoperative photos. A: After left antero-lateral thoracotomy and pericardiotomy a steel component was exposed right next to the pulmonary trunk marked by the single arrow. It was the dorsal strut perforating through the RVOT. B: The dorsal end of the strut was embedded in the wall of the left upper lobe bronchus (single arrow). C: The dorsal strut was pulled out followed by repair with running suture. The single arrow marked the pulmonary trunk and the double arrow marked RVOT. D: The photo showed the removed dorsal (single arrow) and ventral strut (double arrow).