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Johnson's Surgery of the Chest. Fifth Edition
677 How to DO It: Sievertsen et al: Measurement of Aortic Root Pressure During Cardioplegic Infusion
References
1. Hilton CJ, Teubl W, Acker M, McEnany M T Inadequate cardioplegic protection with obstructed coronary arteries. Ann Thorac Surg 28:323,1979 2. Johnson RE, Dorsey LM, Moye P, et al: Cardioplegic infusion: the safe limits of pressure and temperature. J Thorac Cardiovasc Surg 83:813,1982 3. Roberts AJ, Moran JM, Sanders JH, et al: Clinical evaluation of the relative effectiveness of multidose crystalloid and cold blood potassium cardioplegia in coronary artery bypass graft
surgery: a nonrandomized matched-pair analysis. Ann Thorac Surg 33:421,1982 4. Robertson JM, Buckberg GD, Vinten-Johansen J, et al: Comparison of distribution beyond coronary stenoses of blood and asanguineous cardioplegic solutions. J Thorac Cardiovasc Surg 86230, 1983 5. Molina JE, Gani KS, Voss DM: How should clear cardioplegia be administered? A method of rapid arrest with high flow and pressure. J Thorac Cardiovasc Surg 84:762,
1982
REVIEW OF RECENT BOOKS
Johnson's Surgery of the Chest. Fifth Edition 1. A. Waldhausen, W . S. Pierce Chicago, Year Book, 1985 536 pp, illustrated
Reviewed by Richard M . Peters, M . D . This is the first revision since 1970 of the book Johnson and Kirby first published in 1952.As a basic guide to the operative procedures cardiothoracic surgeons perform, it meets the authors' purpose. There are no diagnostic tests and only the briefest of justifications for the various operative procedures the book describes. Most of the general thoracic surgery illustrations are from the original edition although the text has been updated. These illustrations, which are critically important to the book, are superior and continue to serve their purpose well. As for the book as a whole, there are a number of disappointments. The section on chest trauma is outdated. Pendelluft is still given as a physiologic concept; for flail chest, chest strapping is advised without discussion of epidural analgesia. For decortication, there is inadequate caution about excision of visceral pleura and anterior mediastinotomy done as open proce-
dure. There is no description of use of anterior mediastinoscopy, and that of cervical mediastinoscopy is sketchy. Only anterior, midline, and full posterior lateral thoracotomy incisions are described and illustrated. The sections on pulmonary resection are clear and will help the less experienced surgeon to review the appropriate anatomy and procedures. The fine details of technique are sparse throughout this section and the entire book. The section on cardiac surgery, which starts with congenital heart operations, is again sparse in text; the strength of the section is in its clear and uncluttered illustrations. The section on valvular heart disease is inadequate in its description of mitral valve repair. The coronary disease section gives only the basics as do the sections on aortic surgery and decortication. As stated earlier, this book gives the basics that can help the resident and student to understand the operative procedure and the experienced surgeon to review procedure. The book does not give background information or point out a number of the ways of avoiding problems. Despite the shortcomings, the book will be of great value to junior residents as well as thoracic surgery trainees and practicing cardiothoracic surgeons.
San Diego, CA
References
1. Hilton CJ, Teubl W, Acker M, McEnany M T Inadequate cardioplegic protection with obstructed coronary arteries. Ann Thorac Surg 28:323,1979 2. Johnson RE, Dorsey LM, Moye P, et al: Cardioplegic infusion: the safe limits of pressure and temperature. J Thorac Cardiovasc Surg 83:813,1982 3. Roberts AJ, Moran JM, Sanders JH, et al: Clinical evaluation of the relative effectiveness of multidose crystalloid and cold blood potassium cardioplegia in coronary artery bypass graft
surgery: a nonrandomized matched-pair analysis. Ann Thorac Surg 33:421,1982 4. Robertson JM, Buckberg GD, Vinten-Johansen J, et al: Comparison of distribution beyond coronary stenoses of blood and asanguineous cardioplegic solutions. J Thorac Cardiovasc Surg 86230, 1983 5. Molina JE, Gani KS, Voss DM: How should clear cardioplegia be administered? A method of rapid arrest with high flow and pressure. J Thorac Cardiovasc Surg 84:762,
1982
REVIEW OF RECENT BOOKS
Johnson's Surgery of the Chest. Fifth Edition 1. A. Waldhausen, W . S. Pierce Chicago, Year Book, 1985 536 pp, illustrated
Reviewed by Richard M . Peters, M . D . This is the first revision since 1970 of the book Johnson and Kirby first published in 1952.As a basic guide to the operative procedures cardiothoracic surgeons perform, it meets the authors' purpose. There are no diagnostic tests and only the briefest of justifications for the various operative procedures the book describes. Most of the general thoracic surgery illustrations are from the original edition although the text has been updated. These illustrations, which are critically important to the book, are superior and continue to serve their purpose well. As for the book as a whole, there are a number of disappointments. The section on chest trauma is outdated. Pendelluft is still given as a physiologic concept; for flail chest, chest strapping is advised without discussion of epidural analgesia. For decortication, there is inadequate caution about excision of visceral pleura and anterior mediastinotomy done as open proce-
dure. There is no description of use of anterior mediastinoscopy, and that of cervical mediastinoscopy is sketchy. Only anterior, midline, and full posterior lateral thoracotomy incisions are described and illustrated. The sections on pulmonary resection are clear and will help the less experienced surgeon to review the appropriate anatomy and procedures. The fine details of technique are sparse throughout this section and the entire book. The section on cardiac surgery, which starts with congenital heart operations, is again sparse in text; the strength of the section is in its clear and uncluttered illustrations. The section on valvular heart disease is inadequate in its description of mitral valve repair. The coronary disease section gives only the basics as do the sections on aortic surgery and decortication. As stated earlier, this book gives the basics that can help the resident and student to understand the operative procedure and the experienced surgeon to review procedure. The book does not give background information or point out a number of the ways of avoiding problems. Despite the shortcomings, the book will be of great value to junior residents as well as thoracic surgery trainees and practicing cardiothoracic surgeons.
San Diego, CA