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Vascular disorders of childhood
B O O K REVIEWS George Johnson, Jr., M . D . , B o o k R e v i e w S e c t i o n E d i t o r
Vascular disorders of childhood Richard H. Dean and James A. O'Neill, Jr. Philadelphia, 1983, Lea & Febiger, 205 pages, $27.50. Drs. Dean and O'Neill have produced the first text devoted to noncardiac vascular disease in children. This complete text is an outstanding reference, both for congenital and acquired problems in childhood vascular disease. The authors reemphasize the importance of the understanding of the embryologic development of a vascular system in a chapter that is well organized and illustrated. This and the chapter on anomalies of the aortic arch system, coarctation, and snbisthmic aortic coarctations are concise and are well illustrated. The patterns of these anomalies and up-to-date methods of surgical repair are illustrated. Investigative problems of hypertension associated with coarctation are well covered with a relatively up-to-date discussion of the causes of hypertension and the problems attendant to its therapy and lack of response. The chapter on renovascular hypertension in children is well done; however, it perhaps does not emphasize all of the details of the operative technique. The authors assume that the techniques involved in exposure and dissection of tiny vessels and the suture techniques are well known. This may be true; however, I do not believe that magnification, fine suture material (8.0 or smaller), and wide anastomoses can be overemphasized. The remainder of the book is composed of unusual vascular disorders in children, all of which form an excellent reference for the vascular surgeon. The chapter on congenital atteriovenous malformation gives little mention of new techniques such as attempts at sclerosis of these lesions by the use of hypertonic solutions or the injection of polymerizing substances to fill the arteriovenous spaces. The portion of the book dealing with venous abnormalities and trauma is exceedingly well done. The chapter on trauma fills a void that has only been alluded to occasionally in the literature. With the increasing incidence of blunt and penetrating trauma in children, both the vascular and the trauma surgeon will be confronted with more and complex arterial disruptions in children. This book should be in the library of all vascular, pediatric, and trauma surgeons as a guide and ready reference for the care of children with vascular disorders. William J. Fry, M~D. University of Texas Southwestern Medical School
Vascular surgery Peter Bell and Nicholas L. Tilney, eds. Stoneham, Mass., 1984, Butterwotth Publishers, 320 pages, $39.95. Vascular Surgery, edited by Peter Bell and Nicholas Tilney, is the fourth edition in the surgery series of But-
terworth's International Medical Reviews. This book, like other works in this series, is a compilation of articles from different authors. However, the only common thread to these articles appears to be the fact that they all relate to the broad topic of vascular surgery. Each chapter in this book is well written by knowledgeable and respected authors who individually provided a concise and current manuscript. Unfortunately, this collection does not provide any clear or special purpose for being and thus ends up as just another collection of facts on isolated vascular topics. I believe the editors could have used this format to a better purpose if they had arranged invited essays on a more specific area of vascular disease or addressed a single topic. Larry H. Hollier, MaD. Mayo Clinic
Interaction of the blood with natural and artificial surfaces Edwin W. Salzman, ed. New York, 1982, Marcel Dekker, Inc., 248 pagcs, $45.00. This book is an outgrowth of the 1980 International Committee on Thrombosis and Hemostasis Symposium on the "Interactions of the Blood with Natural and Artificial Surfaces." Ten authors discuss a numbcr of related topics beginning with basic aspects of surface Chemistry and concluding with in vivo studies needed to develop better thromboresistant materials in artificial organs. The book begins with a good review of the physics and chemistry of protein-surface interactions that is well illustrated, clearly written, and provides a good basis for understanding how surface properties of polymers affect their biomedical applications. This is followed by a discussion of the mechanisms and variables that affect protein adsorption to artificial surfaces and the relevance of such adsorption to surface-induced thrombosis. The interactions of biologic mcmbrancs with cnvironmental factors such as water, temperature, pressure, and solutes arc considered along with changes induced in these factors by anesthesia. Several chapters deal with the interactions of platelets with blood vessels, proteins, and natural and artificial surfaces. The importance of fluid mcchanical patterns of flowing blood on the interaction of red and white blood cells with surfaces is nicely presented. These studies indicate that blood-foreign surface interactions cannot be considered in isolation but must take into consideration flow field conditions. A chapter on surface-dependent activation of blood coagulation summarizes several integrated hypotheses for the explanation of the mechanisms that underlie activation of the contact-induced coagulation system of plasma. Thc importance of in vivo assessmcnt of the activation of coag927
Vascular disorders of childhood Richard H. Dean and James A. O'Neill, Jr. Philadelphia, 1983, Lea & Febiger, 205 pages, $27.50. Drs. Dean and O'Neill have produced the first text devoted to noncardiac vascular disease in children. This complete text is an outstanding reference, both for congenital and acquired problems in childhood vascular disease. The authors reemphasize the importance of the understanding of the embryologic development of a vascular system in a chapter that is well organized and illustrated. This and the chapter on anomalies of the aortic arch system, coarctation, and snbisthmic aortic coarctations are concise and are well illustrated. The patterns of these anomalies and up-to-date methods of surgical repair are illustrated. Investigative problems of hypertension associated with coarctation are well covered with a relatively up-to-date discussion of the causes of hypertension and the problems attendant to its therapy and lack of response. The chapter on renovascular hypertension in children is well done; however, it perhaps does not emphasize all of the details of the operative technique. The authors assume that the techniques involved in exposure and dissection of tiny vessels and the suture techniques are well known. This may be true; however, I do not believe that magnification, fine suture material (8.0 or smaller), and wide anastomoses can be overemphasized. The remainder of the book is composed of unusual vascular disorders in children, all of which form an excellent reference for the vascular surgeon. The chapter on congenital atteriovenous malformation gives little mention of new techniques such as attempts at sclerosis of these lesions by the use of hypertonic solutions or the injection of polymerizing substances to fill the arteriovenous spaces. The portion of the book dealing with venous abnormalities and trauma is exceedingly well done. The chapter on trauma fills a void that has only been alluded to occasionally in the literature. With the increasing incidence of blunt and penetrating trauma in children, both the vascular and the trauma surgeon will be confronted with more and complex arterial disruptions in children. This book should be in the library of all vascular, pediatric, and trauma surgeons as a guide and ready reference for the care of children with vascular disorders. William J. Fry, M~D. University of Texas Southwestern Medical School
Vascular surgery Peter Bell and Nicholas L. Tilney, eds. Stoneham, Mass., 1984, Butterwotth Publishers, 320 pages, $39.95. Vascular Surgery, edited by Peter Bell and Nicholas Tilney, is the fourth edition in the surgery series of But-
terworth's International Medical Reviews. This book, like other works in this series, is a compilation of articles from different authors. However, the only common thread to these articles appears to be the fact that they all relate to the broad topic of vascular surgery. Each chapter in this book is well written by knowledgeable and respected authors who individually provided a concise and current manuscript. Unfortunately, this collection does not provide any clear or special purpose for being and thus ends up as just another collection of facts on isolated vascular topics. I believe the editors could have used this format to a better purpose if they had arranged invited essays on a more specific area of vascular disease or addressed a single topic. Larry H. Hollier, MaD. Mayo Clinic
Interaction of the blood with natural and artificial surfaces Edwin W. Salzman, ed. New York, 1982, Marcel Dekker, Inc., 248 pagcs, $45.00. This book is an outgrowth of the 1980 International Committee on Thrombosis and Hemostasis Symposium on the "Interactions of the Blood with Natural and Artificial Surfaces." Ten authors discuss a numbcr of related topics beginning with basic aspects of surface Chemistry and concluding with in vivo studies needed to develop better thromboresistant materials in artificial organs. The book begins with a good review of the physics and chemistry of protein-surface interactions that is well illustrated, clearly written, and provides a good basis for understanding how surface properties of polymers affect their biomedical applications. This is followed by a discussion of the mechanisms and variables that affect protein adsorption to artificial surfaces and the relevance of such adsorption to surface-induced thrombosis. The interactions of biologic mcmbrancs with cnvironmental factors such as water, temperature, pressure, and solutes arc considered along with changes induced in these factors by anesthesia. Several chapters deal with the interactions of platelets with blood vessels, proteins, and natural and artificial surfaces. The importance of fluid mcchanical patterns of flowing blood on the interaction of red and white blood cells with surfaces is nicely presented. These studies indicate that blood-foreign surface interactions cannot be considered in isolation but must take into consideration flow field conditions. A chapter on surface-dependent activation of blood coagulation summarizes several integrated hypotheses for the explanation of the mechanisms that underlie activation of the contact-induced coagulation system of plasma. Thc importance of in vivo assessmcnt of the activation of coag927