Operable Heart Disease, Pathophysiology, Diagnosis and Treatment.

Thomas E. Layman, MD
Arch Intern Med. 1967;119(5):542. doi:10.1001/archinte.1967.00290230180021.
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This small book is an attempt to present the anatomy, physiology, and clinical findings of cardiac diseases which are amenable to corrective surgery. It is "directed to students, interns, and residents."

The attempt falls flat. The material is not well organized, the anatomy is oversimplified, and the pathophysiology is often in error or is stated misleadingly. The text would be too brief and lacking in detail for both student and physician. Poor terminology is often used, such as the term "Eisenmenger lung," meaning the pulmonary vascular changes seen in acquired pulmonary hypertension and the term "atypical ductus," meaning a ductus arteriosus in which flow is from pulmonary artery to aorta.

The fault with the book lies in attempting to cover too much material in too little space and with extreme oversimplification of anatomy and physiology.

The book cannot be recommended for use in teaching cardiology.


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