Proximal anastomosis : MICS CABG via 5th Inter Costal Space

The pericardium is opened from the ascending aorta to the left ventricle apex and to the inferior vena cava.　After dissecting between ascending aorta and main pulmonary artery, an octopus NUVO tissue stabilizer which suction tip is bended 60 degree pull the pulmonary artery down to the caudal direction. Flexible side biting clump is placed on the ascending aorta, and proximal anastomosis is made on the ascending aorta with hand sewing.