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October 20, 1989, Vol 262, No. 15 >
ARTICLE | October 20, 1989

Heart and Heart-Lung Transplantation

Robert Karp, MD
JAMA. 1989;262(15):2158. doi:10.1001/jama.1989.03430150126043.
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ABSTRACT

Heart and heart-lung transplantation are now accepted management for some end-stage circulatory problems. With acceptance of the modality comes the accumulation of survival and morbidity data and, ultimately, elaboration of clinical science.

This multiauthored work offers information that in general reflects the current practice of cardiac and heart-lung transplantation in the late 1980s. There are 20 chapters on cardiac transplantation and eight chapters on heart-lung transplantation. The first two chapters on the history of transplantation and on the rejection reaction are particularly strong and serve as a good introduction for the subsequent clinically based contributions. Cabrol and his associates, in particular, nicely elaborate on the surgical procedure for cardiac transplantation. Some, however, may quarrel with the tedious venting and de-airing procedures they suggest. An especially good chapter by P. G. I. Stovin details the monitoring of cardiac rejection by endomyocardial biopsy. In that chapter are seen good examples of all

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