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Title: Aortic Surgery by Jeffrey L. Ballard ISBN: 1-57059-628-X Publisher: Landes Bioscience Pub. Date: 15 August, 2000 Format: Spiral-bound Volumes: 1 List Price(USD): $45.00

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Average Customer Rating: 5 (1 review)

Rating: 5
Summary: Aortic Surgery review by Ahmed Abou-Zamzam,Jr., MD
Comment: Creating a new text to cover the broad field of aortic surgery is a daunting task. To attempt to put all this information into an easily readable pocket reference seems an impossibility. Yet, with his new book Aortic Surgery, Jeffrey L. Ballard has created a comprehensive text that can be easily carried around in the pocket of your lab coat. A quick review of the table of contents is a hint that this is a well-organized, well-written text. The contributor list is a whoÕs-who in aortic surgery, and essentially every chapter is written by a leader in the field. The key is that the book is organized in much the same way that a surgeon approaches aortic disease. Begin with the basics Ð pathophysiology and epidemiology of aortic aneurysmal disease. There is an exhaustive review of screening for aortic aneurysms to give some indication how aneurysms can be detected earlier. Next, the text moves on to review the preoperative evaluations of patients and comments on the relevance of screening for carotid and cardiac disease as well as the necessary preoperative imaging studies. There is an excellent algorithm for preoperative cardiac evaluation that should be reviewed by every surgeon who performs aortic repairs. The text then includes a review of surgical exposures replete with illustrations. The controversies surrounding the management of small aortic aneurysms as well as aortic surgery in the elderly are then discussed. Not to be overlooked, the text also covers the management of aortoiliac occlusive disease. Separate chapters on the current surgical (aortic reconstruction and extra-anatomic bypass) and newer interventional approaches to aortoiliac occlusive disease are well-written and informative. These chapters emphasize results attained with these procedures and allow a comparison of the various approaches. A large portion of this text is devoted to the more complex issues in aortic surgery. The technical issues related to the repair of suprarenal aneurysms, inflammatory aneurysms, ruptured aneurysms, infected aneurysms and infected aortic prostheses are all covered in separate chapters. From there the book goes on to describe approaches to concomitant renal artery disease, as well as the variety of visceral ischemic syndromes. There are excellent chapters on the most complex of aortic repairs Ð thoracoabdominal aortic aneurysms. Superb descriptions and illustrations make these chapters of particular use. There is a succinct chapter detailing Dr. BallardÕs alternative approach for type III and type IV thoracoabdominal aortic aneurysms that anyone with an interest in treating these aneurysms should review. Not to be made obsolete by the rapidly expanding world of endovascular interventions, this text has up-to-date data on these new approaches for aortic aneurysmal disease and aortoiliac occlusive disease. The chapter on endovascular management of aortic aneurysms has a nice review of the development of the stentgrafts and photographs of the currently available, and soon-to-be available devices. The final chapters deal with aortic dissections. This broad topic is limited to descending dissections which are pertinent to vascular (non-cardiac) surgeons. Discussions of the current surgical and newer endovascular approaches shed some clarity on this often-confusing topic and give an exciting look at things to come. The appeal of this text is that it covers issues of aortic surgery that are pertinent to physicians of all levels. The background information is easily accessible to medical students, while the basics of aortic surgery are very useful for housestaff. The more complex issues will serve vascular residents and attendings alike. Notably, most books of this type which include chapters written by many different authors are somewhat difficult to read with typically uneven writing styles. This book, however, is the exception to the rule and all the chapters flow in a very succinct and smooth manner. There is a standardized format throughout the chapters which adds to the readability. Due to the different authors there is some redundancy among the chapters, but this enables each chapter to stand more fully on its own. This text must be praised for its liberal use of illustrations. Another very nice feature is the (mostly) short, annotated bibliography at the end of each chapter. This is quite convenient for the reader who wishes to pursue source articles for further review. Taken as a whole, Aortic Surgery by Jeffrey L. Ballard is a welcome addition to any library. This text can be recommended to anyone wishing an introduction or update on aortic surgery. An easy-to-carry reference in a spiral bound form is ideal for students and housestaff. This book, however, is filled with so much information that it may be more appropriately placed on the office shelf next to the other standard vascular texts.