Wednesday, September 3, 2014

Brain Development in a Child

This illustrations were created for for a childhood psychology text book for the lay public.















Degenerative Spinal Disorders

These illustrations depict degenerative spinal disorders. This poster was created for the display in patient examination rooms at pain management clinics.







Monday, June 2, 2014

The Elephant Trunk Procedure for Aortic Aneurysm Repair, 2012

These illustrations were part of a radiologic poster exhibit and helped provide a comprehensive overview of a relatively new surgical aortic procedure called the Elephant Trunk Technique. The goal is to reduce complications during repair of extensive aortic aneurysms (i.e. involving the ascending and descending thoracic aortic) as a staged procedure.  This series of illustrations provide a detailed description of the surgical procedure and the post-operative appearance for radiologists.

Poster presentation

Poster inset

Surface anatomy of Type A Aortic Dissection and Aneurysm.

Division of the ascending aorta and roof of aortic arch.

Complete anastomosis of superior (ascending) limb of graft prosthesis.

Anastomosis of distal end of the Elephant Trunk and thedescending thoracic aorta.

Completed Elephant Trunk procedure.















Contrast Induced Nephropathy (CIN), 2013

CIN is one of the leading causes of hospital-acquired acute renal failure. This editorial illustration was used as a poster and cover image for an educational iPad/iPhone Application discussing contrast induced nephropathy.  Contrast induced nephropathy is impaired renal function due to intravenous contrast administration. This illustration shows a common iso-osmolar contrast agent in the blood stream. Pencil, Watercolor, Photoshop and Lightwave.



Laparoscopic Whipple Procedure, 2012

This medical illustration series depicts a surgical procedure called a laparoscopic pancreaticoduodenectomy or laparoscopic Whipple operation. This surgical procedure is used to resect malignant tumors of the head, uncinate process and proximal neck of the pancreas. Pencil, Photoshop and LightWave, 2010.

Laparoscopic ports

Entry of Lesser Sack

Division of GDA


Transection of Common Bile Duct

Transection of Distal Stomach and Proximal Jejunum

Division and Removal of Pancreas

Pancreaticojejunostomy (V-Loc™ "barbed" suture)

Hepaticojejunostomy

Gastrojejunostomy







Tuesday, May 27, 2014

Pancreaticoduodenectomy (Whipple Operation), 2011

This medical illustration series depicts a common surgical procedure called a pancreaticoduodenectomy or Whipple Operation. This surgical procedure is used to resect malignant tumors of the head, uncinate process and proximal neck of the pancreas. Pencil, Photoshop and LightWave, 2010.

Pancreatic Surgery for the Radiologist, 2011: An Illustrated Review of Classic and Newer Surgical Techniques for Pancreatic Tumor Resection


Exposure and the Kocher Manuever
Illustration showing the incision and division of GDA and Gastric arteries. Mobilization of the duodenum through the Kocher maneuver and the hepatoduodenal ligament is divided.


Division of Duodenum and Distal Ileum
Illustration showing the division of duodenum and distal ileum.


Division of Pancreatic Head
Illustration showing the division and resection of neck and head of the pancreas. The head of the pancreas is removed.

End-to-side pancreatic anastomosis
Illustration showing the End-to-side Pancreaticojejunal Anastomosis. Details show the inner layer of absorbable suture using interrupted duct-to-mucosa method and the prospective course of outer layer suture is represented by the dotted line.

Post Whipple appearance and gastrojejunostomy
Illustration showing the completed Pancreaticojejunal Anastomosis and the gastrojejunostomy in process.

Friday, May 23, 2014

Surgical Ventricular Restoration (SVR), 2004

A new method for surgical treatment of the failing heart is being explored, based on the principle that cardiac dysfunction may be linked to geometric change rather than contractile failure alone.


These medical illustrations depict in detail the primary steps of left ventricular restoration, a cutting edge surgical procedure used to improve the lives of patients suffering from congestive heart failure. SVR restores the diseased heart to its normal size and shape, reduces volume in the anterior and septal regions of the left ventricle, and excludes the akinetic and dyskinetic portion of the muscular wall. These illustrations were created for a scientific poster exhibit to educate cardiac surgeons and medical professionals associated with this procedure. These illustrations and variations of these illustrations will also be published in radiological and surgical journal publications as well as an atlas of cardiac surgery. 

Certificate of Merit in the Instructional Color category. Surgical Ventricular Restoration (SVR), AMI Annual National Conference, Professional Salon, Cleveland Clinic, Cleveland, Ohio, 2004.

"Surgical Ventricular Restoration" Pencil, Oil & Photoshop, 2004
Healthy heart showing normal left ventricular wall, septum, and chamber.










































Diseased heart showing a dilated spherical left ventricle as seen in congestive heart failure.













































Incision through left ventricular wall lateral to the left anterior descending coronary artery.










































Placement of the balloon into the left ventricle. The pre-sized intra- ventricular balloon (based on patients original ventricular volume) helps to determine volume, define elliptical shape, and identify the new cardiac apex.









































Balloon seated on the mitral valve annulus (black dotted line). After the balloon is in place, the purse string suture is started at the prospective reconstructed apical region, continuing circumferentially as close to the akinetic transition zone (white dotted line) as possible.












































Patch used to close remaining ventricular opening, ensure optimal ventricular sizing, and define the new cardiac apex and distal anterior wall.










































Left lateral view of post-ventricular restoration (SVR) and final closure.