ANTONIA REEVE / SCIENCE PHOTO LIBRARY ANTONIA REEVE / SCIENCE PHOTO LIBRARY
Heart valve surgery. Special tools being used to carry out keyhole heart surgery to replace a defective heart valve. The hole in the patient's chest (between two ribs) is held open by soft- tissue retractors to allow access to the heart. A set of metal retractors, not normally used in keyhole surgery, are also being used because this patient has an unusually deep chest. A hand- operated clamp (centre left) stabilizes the area being operated upon. Fibre-optic camera equipment (lower left) enters through another hole for an internal view. Keyhole heart surgery is less traumatic than open heart surgery (where the rib cage is opened).
Model release not required. Property release not required.