Figure 1.

A, This picture shows the retractor used for left internal thoracic artery harvest (LITA), which elevates the upper two-thirds and depresses the lower one-third of the left thorax. B, Stabilization of the left anterior descending artery (LAD) with a mechanical pressure stabilizer (yellow hatched arrow) mounted on a rib spreader (black arrow). The yellow arrow shows the LITA. C, The end-to-side anastomosis being performed between the LITA (yellow hatched arrow) and the LAD with a shunt placed in the LAD (yellow arrow). D, Closed thoracotomy incision measures 5 cm.