B O O K REVIEWS G e o r g e J o h n s o n , Jr., M D , B o o k R e v i e w S e c t i o n E d i t o r
Atlas o f cardiothoracic surgery L. H. Edmunds, William Norwood, David Low, Philadelphia, 1990, Lea & Febiger, 287 pages, $125.00. This atlas of cardiothoracic operations is an excellent book. It is well organized and is about as comprehensive as a book of this type can be. There are six sections that cover the gamut of thoracic surgery including (1) incisions, (2) acquired heart disease, (3) aorta, (4) congenital cardiothoracic surgery, (5) pulmonary and mediastinal operations, and (6) esophageal disease. The techniques and details presented are those used by the authors at the University of Pennsylvania and of course reflect their own approach and preferences. The text is concise and easily understood. I was particularly impressed with the drawings of David Low, a plastic surgeon. They are easy to follow and make visualization of the operation simple. ~The section on incisions is a nice, brief informative review. The section on acquired heart disease addresses most aduk cardiac surgical operations. The section is current with the inclusion of techniques for implantation of automatic implantable cardiac defibrillators, allograft aortic valves, mapping, and transplantation. However, there is nothing about assist devices or mechanical hearts. The aortic section is clear and complete. The congenital section is particularly good with descriptions of the latest techniques and current procedures. The pulmonary and mediastinal section includes the standard operations as well as coverage of the old and the new. Bronchoplastic procedures, sleeve resections, and segmentectomies are well depicted as are trachea and carina operations. The Eloesser flap and thoracoplasty procedures make this a most comprehensive section. The techniques for excision and reconstruction of the chest wall are especially good. The final section on esophageal disease likewise is clear and complete. The different forms of esophageal reconstruction are all included and well presented. In summary this is an excellent atlas of cardiothoracic procedures that includes the standard rime-tested operations as well as the latest techniques. The drawings are excellent. The text is concise and easy to follow. This book
would be usefixl to all practicing cardiothoracic surgeons and is a must for residents in training. I recommend it. Mark A. Sinning, MD New Bern, N.C.
Practical color atlas o f sectional anatomy Edward A. Lyons, New York, 1990, Raven Press, 319 pages, $56.00. Practical ColorAtlas of Sectional Anatomy is a paperback text whose small size belies the quantity of information it contains. This atlas presents the anatomy of the chest, abdomen, and pelvis in 1 cm sequential sections from frozen unembalmed human cadavers. Transverse, coronal, and sagittal sections are included, representing the images most commonly used in CT scanning, nuclear magnetic resonance (NMR) imaging, and ultrasonography. Each flail color plate is shown opposite a labeled diagram, which clearly and completely identifies all important structures of that section. The vessels have been injected to make their identification easier, and the vascular structures are labeled in great detail. Two sagittal sections are included from a specimen with an intact abdominal aortic aneurysm. CT, NMR, and ultrasound imaging are used with increasing frequency in all aspects of medicine, and it is therefore imperative that all clinicians be familiar with sectional anatomy. Formal education in this area is rare, and standard anatomy texts often do not adequately present structures in the spatial orientation provided by these sections. Since serial sections are presented from the same cadaver at i cm intervals, the reader may proceed sequentially through an anatomic region, following structures in a progressive manner identical to modern radiographic images. The coronal and sagittal views may be especially helpful, since N M R imaging is becoming a more common modality. Our training in sectional anatomy is generally acquired through extensive clinical experience. This small text can provide a practical, well organized supplement to that education. Jeff Buehrer, ~ D North CarolinaMemorial Hospital
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