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.

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.