The field of coronary artery disease is sorely in need of greater attention by radiologists. This book could provide much-needed stimulation with its superb cut-film reproductions which are a tribute to the demanding approach by Dr. Amplatz. The precise angiography shown is not often seen in treatises on this condition. Basically, the book is a large-format case atlas containing a profusion of radiographs, electrocardiograms, and pathological sections, and photomicrographs. Although it is primarily devoted to arteriosclerotic occlusive disease, there is also a section on congenital variants and anomalies. Large areas of unused space obviously allow for future insertion of new material in subsequent editions without increasing the size of the book, and I have found them useful for notes on my own cases. Line drawings are extensively used to explain the angiograms for the student who is unfamiliar with the appearance and position of the major vessels and their branches. Inside the front cover is a long list of abbreviations relating to the illustrations, which at first seems cumbersome, but once learned is a handy tool. A list of units for blood tests is also given to clarify clinical information used in the case presentations; however, it lacks the normal ranges for each, which would be helpful. The reproductions of gross and microscopic specimens are excellent, and there is a good correlation with the radiographs. However, some of the radiographs are not projections, such as the lateral view for right coronary injections, and the reader should bear this in mind. Although the RAO views of the right coronary injections tend to be steeper (45°) than those usually encountered clinically, there are nearly as many standard views in use today as there are coronary angiographers. Unfortunately, there are also quite a few mislabeled and reversed radiographs, and the uninitiated are advised to proceed with caution. A list of errata should be issued by the publisher. Also, I would like to have seen a more detailed discussion of the anomalous origin and course of the left coronary system between the pulmonary artery and aorta, as has been described in cases of sudden death in young people, particularly athletes. The electrocardiograms are generally clear and accurate and relate well to the cases presented. Some readers may use a different terminology, but this is a minor point. On the whole, the book is an excellent addition to the field and recommended to the practicing radiologist.
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