Nuclear magnetic resonance showed the presence of 8 and 10 cm. Surgical manual Skin incision is 8 cm.
Extracorporeal circulation is connected to the patient through the femoral vessels.
The pericardium is opened in a standard way. The exposition of the ascending aorta obtained is excellent. A catheter placed in the pulmonary artery is used to vent the heart. The three different approaches for sternotomy are shown. There were no surgical complications.