Coronary Heart Disease. Clinical, Angiographic and Pathologic Profiles

Coronary Heart Disease. Clinical, Angiographic and Pathologic Profiles

BOOK REVIEWS 369 with development, interpretation, histophysical and histochemical procedures. There is an appendix of tables for buffer solution pr...

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BOOK REVIEWS

369

with development, interpretation, histophysical and histochemical procedures. There is an appendix of tables for buffer solution preparation and materials applicable to histochemistry. Part 4 deals with general cytology and techniques for the study of cellular components, progressing from cytological fixation through the various individual organelles, and Part 5 deals with the demonstration of the principal tissues and organs, mainly from the viewpoint of histological study. The author has filled, rather than stuffed the 1,000-odd pages with pertinent detail, but one often wished for an extension of rationale and for more recent references, although coverage of literature extends to 1972 which for a work of this size and the circumstances under which this edition was produced, is about as up to date as possible. Most techniques familiar to histopathology laboratories are presented with one notable exception, haematoxylin and easin. ‘It is really due to an indifference for histological technique and the force of habit that this method owes a triumph as undoubted as it is undeserved.’ Less expensive and less diffuse textbooks which serve individual needs better are available. However, this book contains a wealth of information which would appeal to those interested in a deeper understanding of the subject. B. H . Munro Coronarj. Heart Diseuse. Clinicul, Angiogruphic and Pathologic Prqfiles, Z. VLODAVER,K . AMPLATZ, H. B. BURCHELL& J. E. EDWARDS. 1976. Springer-Verlag, New York, Heidelberg, Berlin. 584 pp., 1252 figures. A$67.90.

The authors of this large and profusely illustrated monograph comprise cardiovascular pathologists, radiologists, and physicians at the University of Minnesota Hospitals. The stated objective of this handsome book is to present a comprehensive picture of ischaemic heart disease to those dealing with the pathological, cardiological, radiological and surgical facets of this complex disease and it achieves this admirably. The principal thrust of the work concerns coronary artery atherosclerosis, and the pathology is presented in conjunction with the results of anatomical and angiographic studies. Drawings of angiocardiograms are included to help the uninitiated in the reading of films. Specific chapters deal with detailed variations in coronary vasculature anatomy with anomalies of the arteries which may engender ischaemic heart disease, coronary angiography, pathology of obstructive coronary disease, and major topics such as angina pectoris. myocardial infarction, healed myocardial infarction and surgical aspects including revascularization and therapy for myocardial infarction and its sequelae. The primary approach is through a scholarly presentation of cases studied by the authors. The pathological aspects presented in the book reveal the anatomical aspects of various manifestations of coronary heart disease revealing the well-recognized varied processes. With one notable exception, the subject matter is discussed in depth. The chapter on pathology of obstructive coronary disease considers coronary atherosclerosis in detail, but the section on thrombosis is brief and disappointing. Thrombosis secondary to ulcerative atherosclerosis is presented but no consideration is given to the currently contentious issue that thrombosis may be a secondary rather than a causal event in myocardial infarction.

370 BOOK REVIEWS Pathology (1977). 9, October Furthermore, in the list of conditions predisposing to embolism of the coronary microcirculation a variety of conditions are listed but an important omission is coronary artery thrombi. The book is a valuable addition to the library in this field because it brings together the pathological, angiographic and clinical aspects, and it can be recommended to pathologists, clinicians and students. N . G. Arrllie Atliis of' Cerc4m)vusculur Discuse, W. F. MCCORMICK & S. S. SCHOCHET JK.

1976 W. B. Saunders, Philadelphia, London, Toronto. A$40.19.

422 pp., illustrated.

Cerebrovascular lesions rank among the commonest problems for pathologists engaged in general autopsy work or having a special interest in the nervous system. In compiling this atlas, the authors have succeeded in filling a hiatus in well-illustrated references in this field. Although by no means large, this atlas covers a comprehensive range of congenital and acquired vascular lesions of the central nervous system. Both clinical and pathological aspects of common and uncommon lesions are discussed concisely with the aid of case reports and in most areas, the authors delineate the current status of the conditions. A particularly welcome feature is the lucid account at the beginning of the book of vascular anatomy and anomalies. All illustrations are in black and white, with a preponderance of macroscopic photographs of well dissected and displayed specimens. A small number of photographs suffer from lighting problems and are slightly marred by very dark shadows or inadequate contrast between object and background. A few others are cluttered by numbering and arrows somewhat larger than necessary. Reproductions of histological material vary more widely in quality and the stains and magnifications employed are not specified. Both text and illustrations are comfortably spaced. Most of the legends are not only separated from the figures but are curiously interposed between paragraphs of the text. The flaws in the production of this atlas are minor when its contribution to the understanding of cerebrovascular disease is considered. This work will readily find a place among the general references not only for pathologists in both adult and pediatric fields, but also for interested clinicians and radiologists. A , E. Kuri