FIELD: medicine. SUBSTANCE: method involves layer-by-layer cutting soft tissues along the VI intercostal space between the sternum edge and 3 cm outwards from the clavicular median line to internal thoracic fascia. The cut is continued from the internal wound mouth angle downward to the xiphoid process end. The VII rib is separated from the sternum. The internal thoracic fascia is opened between the sternum edge and the transitional pleura fold. The VII rib is pulled downwards. The anterior transitional pleura fold is separated from pericardium, chest wall and diaphragm towards the apex cordis. The pericardium and diaphragm are separated between the sternopericardial ligament and apex cordis from the anterior to the posterior line of their symphysis. EFFECT: reduced number of traumatic postoperative complications at the stage of surgical access. 3 dwg
