1. 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: /j.jtcvs
Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

2. 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  , e5-e7DOI: ( /j.jtcvs )
Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

3. 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  , e5-e7DOI: ( /j.jtcvs )
Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions