Volume 16 is comprised of a selected 70% of the surgical papers presented at the annual meeting of the American Heart Association in 1966. As such, they capably define current surgical management of a large variety of cardiovascular lesions, both congenital and acquired. To a considerably less satisfactory degree, the indications for such surgery are discussed. For example, prosthetic valve replacement is considered in detail, but there is only a single reference pertinent to long-term survival (which has been 70% in one of the largest and most carefully followed series in this country).
Of particular interest is a review of published experience with pulmonary embolectomy. An average mortality of 57% is cited. This includes cases in which early as well as late surgery was performed. Since the majority of deaths occur within the first hour after embolization, the risk imposed by surgery after a longer interval is impressive.