The hepatic buttress: A novel surgical technique to treat an intrapericardial diaphragmatic defect after hybrid myocardial ablation  William C. Chapman, BA, Michael Sosin, MD, J.R. Salameh, MD, FACS, C. Francisco Espinel, MD, FACS  The Journal of Thoracic and Cardiovascular Surgery  Volume 150, Issue 1, Pages e5-e7 (July 2015) DOI: 10.1016/j.jtcvs.2015.03.065 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Computed tomographic coronal (left) and transverse (right) cuts demonstrating herniation of bowel and fat through the diaphragmatic defect into the pericardial space. The Journal of Thoracic and Cardiovascular Surgery 2015 150, e5-e7DOI: (10.1016/j.jtcvs.2015.03.065) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, The defect measured approximately 3 cm. B, Approximation of the defect with interrupted figure-of-eight 1-0 silk sutures. C, Hepatic buttressing of the diaphragmatic repair with the left triangular ligament of the liver. The Journal of Thoracic and Cardiovascular Surgery 2015 150, e5-e7DOI: (10.1016/j.jtcvs.2015.03.065) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions