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Book and Media Reviews
February 8, 2012

Diagnosis and Management of Adult Congenital Heart Disease

Author Affiliations

Author Affiliation: Department of Pediatrics, Baylor College of Medicine, Houston, Texas (screddy@bcm.edu).

JAMA. 2012;307(6):618-619. doi:10.1001/jama.2012.105

The numbers of adults undergoing surgical intervention and catheterization for treatment of common, uncommon, and rare congenital heart diseases are increasing, and the improved second edition of Diagnosis and Management of Adult Congenital Heart Disease is a welcome addition to this emerging discipline. Edited by a team of 3 acknowledged experts and written by 114 authors from different countries, this book represents an outstanding international collaboration.

The book is organized into 11 sections. The first, “General Principles,” includes an array of topics organized into chapters pertinent to this population. The chapters covering cardiac morphology and nomenclature, clinical evaluation, diagnostic testing, pregnancy, and transition of care are well written and feature an easy flow of information. The accompanying images, tables, and highlighted boxes are exceedingly helpful in presenting such information. However, the chapters covering critical care, late repair, and reoperations are superficial, and the chapters on electrophysiological testing and arrhythmias are vague and repetitive and make no mention of medical management. Additionally, the chapters on the venous shunts and Fontan circulation (with revision) emphasize operative techniques with a bias toward the experience of a single center and therefore, are at discord with the international approach of the book. The chapter on resynchronization therapy is novel to this book; however, use of this modality in current clinical practice is limited.

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