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Figure 3: Suggested placement of external defibrillator pads to avoid both the areas of planned incision for the HARPOON Beating Heart MVRS (usually the 3rd or 4th left intercostal space), and a median sternotomy (should it be required). (a) Anterior chest wall, (b) Posterior chest wall. Reproduced with permission from: Cheung AT. Anesthesia for aortic surgery requiring deep hypothermia. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA (accessed on 3rd February 2018) Copyright © 2018 UpToDate, Inc. For more information visit www.uptodate.com

Figure 3: Suggested placement of external defibrillator pads to avoid both the areas of planned incision for the HARPOON Beating Heart MVRS (usually the 3<sup>rd</sup> or 4<sup>th</sup> left intercostal space), and a median sternotomy (should it be required). (a) Anterior chest wall, (b) Posterior chest wall. Reproduced with permission from: Cheung AT. Anesthesia for aortic surgery requiring deep hypothermia. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA (accessed on 3<sup>rd</sup> February 2018) Copyright © 2018 UpToDate, Inc. For more information visit www.uptodate.com