During Amagi’s (Kazunari Ninomiya) public surgery at the International Society of Cardiac Surgery, right when they were about to detach the internal artery of the patient Tokunaga (Hajime Inoue), his temperature suddenly rises, causing a malignant hypothermia. However, there is no medicine to stop the reaction. Flashing back to the nightmare with his mother, Amagi decides on a highly dangerous operation of using an artificial heart-lung machine during a bypass surgery. Takashina (Koutaro Koizumi) joins to assist, however to perform the bypass all 3 of Tokunaga’s coronary artery has been severed. What does this surgical scar mean…

Shingyoji (Koji Ishizaka) who was at the venue advices to stop the operation to Amagi as the direction of the medical association. However, Saeki (Seiyō Uchino) urges to continue the operation and lets Amagi know the true reason of building the new hospital.

At the same time, at Tojo University, Yui (Reika Horikoshi) collapses with acute mitral regurgitation. With time running out for her, Sera (Ryoma Takeuchi) asks Kurosaki’s (Satoshi Hashimoto) assistance in performing an emergency snipe operation. However an unfortunate accident happens…

Two operations in horrible situations happening at the same time. What is the two’s fate!?
The whole truth behind the direct anastomosis and the meaning behind the broken promise of the black forceps is revealed!

The story returns back to Australia…