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Doody's Review ServiceReviewer: Ralph J. Damiano, MD (Washington University School of Medicine)
Description: This book describes the new developments in the field of minimally invasive cardiac surgery (MICS). It is separated into three sections. The first part, "Physiology of Injury," consists of a basic science review of the pathophysiology of cardiopulmonary bypass and vascular injury. The next two sections deal with less invasive approaches to coronary artery bypass grafting and non-coronary MICS.
Purpose: The purpose is to provide the reader with an up-to-date review of MICS and to outline an optimal approach for this rapidly developing new field. The book is both a timely and extremely usable review of this area, and meets the editors' objectives.
Audience: It is written primarily for practicing cardiac surgeons, but is also an excellent review for surgical residents. All the chapters are written by leading practitioners and active investigators in the field who are recognized authorities.
Features: The strength of this book is the excellent quality of the contributors. It is also unique in that it not only covers present minimally invasive techniques, but provides the physiologic justification for their development, with excellent chapters on the pathophysiology of cardiopulmonary bypass and endothelial injury. There is also an excellent chapter comparing minimally invasive coronary artery bypass grafting with percutaneous interventions, providing the reader with a perspective of where these new procedures fit into the overall spectrum of care. There are also chapters looking into the future, particularly into alternative approaches to vascular anastomoses and device-supported myocardial revascularization. The only shortcoming of this book is the generally poor quality of illustrations.
Assessment: This is a superb contribution to the literature and is perhaps the most concise and comprehensive review of the field of MICS to date. It is must reading for surgeons interested in this field.