Dave never mentioned this - so I assume he knows what he is doing and has a way to handle this.
Pangchen - I know that this is not the recommended way - but it looks like Dave is an advanced user and knows what he is doing.
Whats wrong with finding the knowhow for this ?
I know that it is possible, Petr once described it and there are even programs that automate the dd-image to monolithicFlat procedure.
Once he has the monolithicFlat he can rewrite it to be used by ESX directly. I have done so a couple of times.
You may look at LiveView:
http://liveview.sourceforge.net/
They use Java and vmrun from WS 6 to convert dd-images to vmdks.
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continuum