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