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Book Review: The Heart Lung Machine and Related Technologies of Open Heart Surgery

This book is intended for undergraduate medical students and graduates with little or no previous knowledge of cardiovascular physiology. Within their brief the authors have attempted to emphasize the general concepts of normal cardiovascular physiology without labouring specific points unless they illustrate a principle. To this end it is pleasing to see that only highly selected references with a high content of review articles are included in each chapter’s bibliography. Although the emphasis is on normal physiology, the authors repeatedly remind the reader, without assuming any knowledge of clinical medicine, that normal physiology provides the foundation for pathophysioIogy, a feature which should make the book attractive to undergraduates and paramedical staff. However, bearing in mind current concepts in the treatment of coronary vascular disease, it is surprising to find such a small section on cardiac oxygen consumption and work with no reference to vasodilator therapy. Some may find the description of coronary anatomy a little confusing since it adheres neither to common clinical usage nor to the Nomina Anatomica. The diagrams of. thecoronary circulation could be improved by using standard angiographic projections and inclusion of diagonal and marginal arteries, knowledge of which has become relevant since the advent of coronary angiography and coronary artery bypass grafting. Despite these minor points this book represents a good, well-balanced review guiding the reader from square one through to a comprehensive overview of cardiovascular physiology.