![]() Another TTE was obtained after the surgical drapes had been removed. After chest and skin closure the TEE probe was removed. The pericardial suspension was relieved, but the pericardium was not closed. After weaning from CPB, relief of the pericardial suspension and heparin reversal with protamine-sulphate TEE monitoring and image acquisition were continued until skin closure. The right atrium was cannulated through its appendage with a 2-stage venous cannula of appropriate size. The pericardium was suspended and the aorta and the right atrium were cannulated. ![]() The surgical procedure comprised the following steps: after skin incision the chest was opened using a full median sternotomy and the left internal mammary artery was mobilized for graft usage, after which the mediastinum was incised and full pericardiotomy was attained. ![]()
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