Fig. 4From: Combined cardiac surgery in a Marfan syndrome patient with severe scoliosis via lower hemisternotomy: a case reportSecuring the operating field. The aorta was cross-clamped using a flexible aortic clamp (white dotted arrow). A Kent retractor was applied to elevate the sternum (white arrow). The right costal arch was folded back (white arrowhead) and fixed using the retractorBack to article page