CASE REPORT CAUDIANI ET AL LEFT MAIN RECONSTRUCTION
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coronary-artery obstruction: its etiology and treatment by transaortic endarterectomy. N Engl J Med 1964;271:213-8. 5. Sabiston DC, Ebert P A, Friesinger cc. Ross RS, Sinclair-Smith B. Proximal endarterectomy, arterial reconstruction for coronary occlusion at aortic origin. Arch Surg 1965;91:758-64. 6. Hitchcock JF, Robles de Medina EO, [ambroes G. Angioplasty of the left main coronary artery for isolated left main coronary artery disease. J Thorac Cardiovasc Surg 1983;85:880-4. 7. Villemot JP, Amrein D, Labourel L, et al. Chirurgie du tronc coronaire gauche par voie tranpulmonaire: dix observations. Presse Med 1984;13:2367-70.
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REVIEW OF RECENT BOOKS Cardiopulmonary Bypass: Principles and Practice Edited by Glenn P. Gravlee, Richard F. Davis, and Joe R. Utley Baltimore, Williams & Wilkins, 1993 845 pp, illustrated, $135.00 Reviewed by Axel W. [oob, MD Cardiopulmonary Bypass: Principles and Practice, edited by Drs Gravlee, Davis, and Utley, is an excellent monograph detailing all aspects of cardiopulmonary bypass. The book is divided into five well-organized sections covering engineering aspects, pathophysiologic aspects, coagulation, organ system effects, and the clinical applications of bypass. Each chapter within these sections is well written and complete in content. An extensive bibliography also is included. The myriad of physiologic aberrations that occur with bypass is very well detailed within the sections on pathophysiology of cardiopulmonary bypass and the section on organ system effects of bypass. An entire section also is included on coagulation. This section
details aspects of intraoperative anticoagulation as well as the physiologic aspects of bypass on the coagulation cascade. An excellent discussion of currently available literature and research on all aspects of the coagulopathy associated with bypass also is included. There also is a superb discussion of currently available methods to decrease bleeding after bypass. The section on clinical applications of cardiopulmonary bypass is complete, including discussion and data on extracorporeal membrane oxygenation, ventricular assist devices, and uses of percutaneous bypass. This monograph is an invaluable reference for all members of the team involved in the care of patients requiring cardiopulmonary bypass. This book consolidates years of research in a technology that has become commonplace. It also allows the reader to appreciate the complexity of the physiologic responses associated with cardiopulmonary bypass. Hence, I would recommend this book highly for cardiac surgeons, cardiac anesthesiologists, cardiac surgical trainees, and perfusionists. Chicago, Illinois