It looked as if the only chance for 13-year-old Tina [text removed] was a complete heart and lung transplant. But then she was referred to Dr Shakeel Qureshi and Professor Michael Tynan , two remarkable doctors who believed that they could perform surgery from inside the heart, without the need for a chest incision. The only problem was, they had never tried this before. When they got into the operating theatre, things did not go according to plan and they had to improvise solutions with instruments they modified themselves.