by John L. Ochsner and Noel L. Mills, $25, 275 pp, Philadelphia, Lea & Febiger Publishers, 1978.
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The Ochsner Clinic has played a leading role in the development of coronary artery surgery in the United States, and in Coronary Artery Surgery, Ochsner and Mills lucidly describe the philosophy and technique of the surgical management of coronary artery disease in their unit.
This is a luxuriously printed book, with wide margins and large print. The line drawings are exceptional and explicitly complement the very clear prose explanation of myocardial pathophysiology and surgical technique. There are an excellent short historical outline and good discussions of the angiographic and surgical anatomic findings in coronary artery disease.
The monograph does rely heavily on many locally important points of view, and specifically those involving the Ochsner Clinic's willingness to use allogeneic saphenous vein grafts, vein patch angioplasty, and their disinterest in venting the left side of the heart. The authors are most explicit in describing their method of "myocardial protection," claiming that
McENANY MT. Coronary Artery Surgery. Arch Surg. 1979;114(5):644. doi:10.1001/archsurg.1979.01370290094028