Figure 2
From: Minimal access median sternotomy for aortic valve replacement in elderly patients
Intraoperative situs. (a) Limited skin incision is placed approximately 5 cm below jugulum. (b) A complete median sternotomy is performed using a pendulum saw. (c) Excellent access to the right atrial appendage and aortic root. (d) Clear arrangement and easy access to the operation field facilitates fast and save cannulation. (e) Aortic cross clamping and standard transverse aortotomy is conducted for AVR. (f) Intracutaneous suture of 7.5 cm.