Mitral valve prolapse

Mitral valve prolapse

International Elsevier Journal of Cardiology, 23 (1989) 141-143 141 IJC 00854 Book Reviews Mitral Valve Prolapse Editors: Hatisios Boudoulas a...

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International Elsevier

Journal of Cardiology,

23 (1989) 141-143


IJC 00854

Book Reviews Mitral Valve Prolapse Editors:





F. Woo-

Iey 673 pp.; $80; ISBN


Problems related to the prolapsing mitral valve are meticulously and extensively treated in this excellent monograph, edited by H. Boudoulas and C. Wooley. The book is comprised of 34 chapters (19 of which are dedicated to mitral valve prolapse and 15 to the mitral valve prolapse syndrome). The content of the text is, therefore, admirably broad, even though the volume is quite concise in size. The introductory chapters are particularly impressive, notably chapter 2 in which the morphology of the normal and prolapsing valve is clearly and sharply elucidated. Moreover, the outstanding illustrations (even though reproduced in black and white) further highlight the content of this chapter which is enjoyable and easy to understand. The physiology, pathology, and etiology of the prolapsed mitral valve and the clinical aspects of the disease have also been extensively covered. There is, nonetheless, a regrettable incidence of unnecessary repetition among the different chapters (for example, etiology of the disease; etiology of formation of thrombus, etc.). These could have been avoided by better editing, since they render the text less elegant and more difficult to read. An entire chapter (Chapter 13) is dedicated to the echocardiographic diagnosis of prolapse which includes nice and convincing illustrations. It is surprising, therefore, that there is neither mention nor illustration of catheterization studies (for example, left ventricular angiography). As far as the surgical treatment of prolapse of the mitral valve is concerned (Chapter 19), descriptions are given of the most widely used techniques for repair of the prolapsing valve. The drawings, surprisingly, are very similar to those published by Carpentier in Stark and de Leval’s textbook, yet no acknowledgment is given. This is surely close to plagiarism. Furthermore, the author includes problems (Figure 2) and surgical techniques (Figure 3) which are not pertinent to the

prolapsing mitral valve or its syndrome. In addition, he describes annuloplasty using the Carpentier ring as the only treatment aimed at correcting regurgitation due to dilatation of the annulus. There are other surgical techniques which are widely used (such as the commissural annuloplasty described by Kay) which should also have been included. Finally, I noted with regret that problems concerning the congenitally malformed mitral valve, which often presents with prolapsing leaflets (such as elongated or absent cords or elongated papillary muscles) have been completely forgotten!! In summary, apart from the specific problems outlined above, and other minor faults which are to be found in any volume, the Editors are to be congratulated on their achievement. This is a new and interesting book that tells us everything we need to know about the prolapsing mitral valve and its syndrome. The text can be warmly recommended to all training and trained cardiologists.

Dept. of Cardiovascular Surgery University of Padua Medical School Padua, Italy

Two-Dimensional Echocardiographic Congenital Heart Disease Editors: J.B. Seward, and D.J. Hagler Springer-Verlag, London, 1987; 96473-8 (Berlin),





Atlas. Vol. 1. W.D.


New York/ Berlin/ Heidelberg/ 598 pp.; DM390; ISBN 3-540O-387-96473-8 (New York)

This magnificent volume is the first of a projected three-volume series on cross-sectional echocardiographic anatomy. This particular volume is concerned with congenital heart disease and is based on the extensive experience of the Mayo Clinic. The authors are three experts in congenital heart disease in both children and adults, along with a cardiac pathologist. As they describe in their Introduction, the material illustrated