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.
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