Footnotes

• Collaborators Giovanni Gordini, Carlo Coniglio, Fausto Catena, Luca Ansaloni, Federico Coccolini, Noel Naidoo.

• Patient consent Obtained.

• Contributors SDS wrote the manuscript. MB (Cardiothoracic Surgeon) and SDS (Abdominal Surgeon) operated on the patient respectively on the chest and on the abdomen AB and KK were Assistant Surgeons SDS, AB and GT managed in the patient in ED. AB captured the images in O.R. and edited the video. All Authors reviewed and approved the final draft of the manuscript.