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Cardiac and noncardiac complications of open heart surgery: Prevention, diagnosis and treatment
KEY REFERENCES COSGROVE AORTIC VALVE REPAIR
Ann Thorac Surg 1992;54101P5
34. Duran CG. Reconstructive techniaues for rheumatic aortic valve disease. J Cardiac Surg 1988;3:23-8. 35. Frater RWM. Aortic valve insufficiency due to aortic dilatation: correction bv sinus rim adiustment. Circulation 1986; 74(Suppl 1):13&.
1015
CUSDPerforation I
,
36. Denyer MH, Elliott CM, Robicsek F. Pericardial patch repair of aortic cusp perforation caused by cardiac catheterization. J Cardiac Surg i988;3:155-7.
REVIEW OF RECENT BOOKS
Cardiac and Noncardiac Complications of Open Heart Surgery: Prevention, Diagnosis and Treatment Edited by Morris N . Kotler, M D , and Anthony Alfieri, DO Mount Kisco, N Y , Futura Publishing Company, 1992 418 pp, illustrated, $62.00 Reviezued by James L. Nielsen, M D With this book, the editors provide the nonsurgeon a basic framework for the management of complications following cardiac operations. Although the book was written by cardiologists for cardiologists, surgical house staff and those in cardiac surgery training may also find it a useful reference. This work begins with a chapter on the cardiologist’s perspective of coronary bypass operations, and includes a thorough literature review of the indications for coronary artery bypass. The author also makes a point of the lack of rigorously controlled studies comparing coronary angioplasty with bypass operation. The next four chapters focus on specific postoperative cardiac problems, with discussions of the interpretation of electrocardiograms and management of arrhythmias. Notable shortcomings in
this section are the inadequate coverage of postoperative bleeding, management of early tamponade, and cardiac assist devices. Progressing into discussion of specific organ system problems, the topics of pulmonary, neurologic, and renal complications and their management are covered in a practical, clinically useful fashion. However, the chapter on gastrointestinal complications tends to spend too much time on etiology and too little on diagnosis and management. Also, in the endocrinology chapter, disproportionate emphasis is placed on rare occurrences such as pituitary apoplexy and adrenal insufficiency. An in-depth discussion of the prevention of atherosclerotic coronary disease brings the book to a close. The author covers the pathophysiology and reviews prevention trials, condensing the topic into a convenient management algorithm, which includes lifestyle and dietary modifications as well as medications. Although the editors do not actually say so in their preface, this book is intended for cardiologists taking care of cardiac surgery patients. However, surgeons in training may find it a practical guide for certain problems in their postoperative management. Sun Antonio, Texas
Ann Thorac Surg 1992;54101P5
34. Duran CG. Reconstructive techniaues for rheumatic aortic valve disease. J Cardiac Surg 1988;3:23-8. 35. Frater RWM. Aortic valve insufficiency due to aortic dilatation: correction bv sinus rim adiustment. Circulation 1986; 74(Suppl 1):13&.
1015
CUSDPerforation I
,
36. Denyer MH, Elliott CM, Robicsek F. Pericardial patch repair of aortic cusp perforation caused by cardiac catheterization. J Cardiac Surg i988;3:155-7.
REVIEW OF RECENT BOOKS
Cardiac and Noncardiac Complications of Open Heart Surgery: Prevention, Diagnosis and Treatment Edited by Morris N . Kotler, M D , and Anthony Alfieri, DO Mount Kisco, N Y , Futura Publishing Company, 1992 418 pp, illustrated, $62.00 Reviezued by James L. Nielsen, M D With this book, the editors provide the nonsurgeon a basic framework for the management of complications following cardiac operations. Although the book was written by cardiologists for cardiologists, surgical house staff and those in cardiac surgery training may also find it a useful reference. This work begins with a chapter on the cardiologist’s perspective of coronary bypass operations, and includes a thorough literature review of the indications for coronary artery bypass. The author also makes a point of the lack of rigorously controlled studies comparing coronary angioplasty with bypass operation. The next four chapters focus on specific postoperative cardiac problems, with discussions of the interpretation of electrocardiograms and management of arrhythmias. Notable shortcomings in
this section are the inadequate coverage of postoperative bleeding, management of early tamponade, and cardiac assist devices. Progressing into discussion of specific organ system problems, the topics of pulmonary, neurologic, and renal complications and their management are covered in a practical, clinically useful fashion. However, the chapter on gastrointestinal complications tends to spend too much time on etiology and too little on diagnosis and management. Also, in the endocrinology chapter, disproportionate emphasis is placed on rare occurrences such as pituitary apoplexy and adrenal insufficiency. An in-depth discussion of the prevention of atherosclerotic coronary disease brings the book to a close. The author covers the pathophysiology and reviews prevention trials, condensing the topic into a convenient management algorithm, which includes lifestyle and dietary modifications as well as medications. Although the editors do not actually say so in their preface, this book is intended for cardiologists taking care of cardiac surgery patients. However, surgeons in training may find it a practical guide for certain problems in their postoperative management. Sun Antonio, Texas