,After prepping and draping the patient from the chin to bilateral ankles including left forearm in the usual sterile fashion, proper time-out was conducted and site identification was performed, and subsequently incision was made overlying the sternum and median sternotomy was performed. 
,After prepping and draping the patient from the chin to bilateral ankles including left forearm in the usual sterile fashion , proper time - out was conducted and site identification was performed , and subsequently incision was made overlying the sternum and median sternotomy was performed .