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September 29, 1978

The Practice of Coronary Artery Bypass Surgery

Author Affiliations

University of Mississippi Medical Center Jackson

JAMA. 1978;240(14):1539. doi:10.1001/jama.1978.03290140080036

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This monograph grew out of a previously published poll of cardiovascular surgeons, whereby the author (a cardiovascular surgeon) wanted to determine techniques of coronary artery surgery. The present volume tries to present to the entire health-care field the current relevant information regarding coronary artery surgery. Several chapters were written in collaboration, resulting in considerable repetition. The contents of the individual chapters are generally good, particularly those dealing with assessment of injury, myocardial protection, and the role of internal mammary artery. Chapter 4, "The Risks of Coronary Bypass Surgery," spends too much time describing complications inherent in any type of surgery involving cardiopulmonary bypass and not enough on the management of specific problems. For example, there is little mention of postoperative hypertension and almost none regarding the management of postoperative low cardiac output with pharmacologic agents or intraaortic balloon pump. A chapter on anesthetic management would be appropriate.

The greatest objection