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Figure 2 Note the standard approach to the mitral valve (the interatrial grove incision of the left atrium) and three incision lines of the right atrium (surgeon’s view). The right atrial appendage was excised and a lateral incision was made downwards across the free wall of the right atrium. The next incision was made between the venae cavae, running parallel to the interatrial grove incision. It was prolonged to the left across the inferior part of the anterior right atrial wall, above the inferior vena cava and towards the right ventricle. RA = right atrium; PV = left pulmonary veins; VCS = vena cava superior; VCI = vena cava inferior.





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