Pediatric Annals

Book Review 

THE AORTIC ARCH AND ITS MALFORMATIONS

Aaron R Levin, MD

Abstract

Shuford, W. H., and Sybers, R. G. THE AORTIC ARCH AND ITS MALFORMATIONS: With Emphasis on the Angiographic Features. Springfield. (W.: Charles C Thomas, Publisher. 1973, 264 pp., $19.75.

This book, as stated in the preface, is largely a compilation of the authors' published papers on malformation of the aortic arch. Not surprisingly, the result is a somewhat uneven and incomplete view of various arch abnormalities that may occur. There is a tendency to emphasize and detail the rare anomalies, devoting an entire chapter to cervical aortic arch, of which only 12 cases have been reported, while glossing over more common defects, such as coarctation of the aorta. Despite this, the material is well presented in a format that makes review of the subject and its comprehension easy and rapid.

The book is spread over 264 pages divided into 11 chapters. The first chapter provides a developmental background for aortic arch malformations, based upon Edwards' hypothetical double aortic arch system, from which all aortic arch abnormalities may be derived. The development of the normal aortic arch is discussed, followed in the second chapter by a description of the normal left aortic arch. The accompanying clear diagrams and angiograms simplify a complex subject and set the stage for a discussion and explanation of the other developmental anomalies that follow in the succeeding chapters. Detailed in sequence are left aortic arch with aberrant right subclavian artery, left arch with right descending aorta, right aortic arch and its types, double aortic arch and cervical aortic arch, aortic arch interruption, and hypoplastic conditions of the aorta.

Each subject is methodically and concisely discussed, commencing with a definition of the anomaly and followed by its classification, clinical significance, development, chest roentgenography, and angiographic features. Each chapter is completed with a series of representative cases, amply illustrated with roentgenographs, cardiac series, and angiograms and often accompanied by illustrations of the pertinent angiogram. At the end of each chapter, an appropriate list of important references is presented. In addition, a brief chapter on differentiation of double aortic arch with left-arch atresia and right-arch malformations is presented, followed by another discussing vascular anomalies of the mediastinum causing compression of the trachea and esophagus.

The book is printed on highquality paper and is well set out, making reading and comprehension easy and rapid, with excellent illustrations of the developmental steps of each anomaly leading to the final result. While most of the reproduced angiograms are good, however, some are of poor quality and unclear.

On the whole, the book is quite informative, makes easy reading, and presents a difficult subject in a clear, brief, and concise manner. Although the subject is far from exhausted by the authors, this book will be of considerable help to medical students and practitioners, as well as to radiologists, pediatric cardiologists, and thoracic surgeons.…

Shuford, W. H., and Sybers, R. G. THE AORTIC ARCH AND ITS MALFORMATIONS: With Emphasis on the Angiographic Features. Springfield. (W.: Charles C Thomas, Publisher. 1973, 264 pp., $19.75.

This book, as stated in the preface, is largely a compilation of the authors' published papers on malformation of the aortic arch. Not surprisingly, the result is a somewhat uneven and incomplete view of various arch abnormalities that may occur. There is a tendency to emphasize and detail the rare anomalies, devoting an entire chapter to cervical aortic arch, of which only 12 cases have been reported, while glossing over more common defects, such as coarctation of the aorta. Despite this, the material is well presented in a format that makes review of the subject and its comprehension easy and rapid.

The book is spread over 264 pages divided into 11 chapters. The first chapter provides a developmental background for aortic arch malformations, based upon Edwards' hypothetical double aortic arch system, from which all aortic arch abnormalities may be derived. The development of the normal aortic arch is discussed, followed in the second chapter by a description of the normal left aortic arch. The accompanying clear diagrams and angiograms simplify a complex subject and set the stage for a discussion and explanation of the other developmental anomalies that follow in the succeeding chapters. Detailed in sequence are left aortic arch with aberrant right subclavian artery, left arch with right descending aorta, right aortic arch and its types, double aortic arch and cervical aortic arch, aortic arch interruption, and hypoplastic conditions of the aorta.

Each subject is methodically and concisely discussed, commencing with a definition of the anomaly and followed by its classification, clinical significance, development, chest roentgenography, and angiographic features. Each chapter is completed with a series of representative cases, amply illustrated with roentgenographs, cardiac series, and angiograms and often accompanied by illustrations of the pertinent angiogram. At the end of each chapter, an appropriate list of important references is presented. In addition, a brief chapter on differentiation of double aortic arch with left-arch atresia and right-arch malformations is presented, followed by another discussing vascular anomalies of the mediastinum causing compression of the trachea and esophagus.

The book is printed on highquality paper and is well set out, making reading and comprehension easy and rapid, with excellent illustrations of the developmental steps of each anomaly leading to the final result. While most of the reproduced angiograms are good, however, some are of poor quality and unclear.

On the whole, the book is quite informative, makes easy reading, and presents a difficult subject in a clear, brief, and concise manner. Although the subject is far from exhausted by the authors, this book will be of considerable help to medical students and practitioners, as well as to radiologists, pediatric cardiologists, and thoracic surgeons.

10.3928/0090-4481-19751001-07

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