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This surgical illustration depicts the post-operative condition of a coronary artery bypass procedure with a saphenous vein graft and an internal mammary-coronary artery anastomosis. The heart, pericardium, saphenous vein graft, internal mammary artery, and all the great vessels, including the aorta, superior vena cava, and pulmonary artery are viewed through a midline thoracic incision.