Fetal Echocardiography, 2nd Edition

Fetal Echocardiography, 2nd Edition

Ultrasound in Med. & Biol., Vol. 38, No. 3, p. 534, 2012 Copyright Ó 2012 World Federation for Ultrasound in Medicine & Biology Printed in the USA. Al...

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Ultrasound in Med. & Biol., Vol. 38, No. 3, p. 534, 2012 Copyright Ó 2012 World Federation for Ultrasound in Medicine & Biology Printed in the USA. All rights reserved 0301-5629/$ - see front matter



Book Review FETAL ECHOCARDIOGRAPHY, 2ND EDITION Julia A. Drose, St. Louis, MO, Saunders Elsevier, 2010. ISBN: 978-1-4160-5669-0

The second edition of the textbook Fetal Echocardiography, by Julia Drose, includes many of the same contributors as the first edition, published in 1998, but represents a substantial improvement as it has been brought up to date with many expanded features. The new text is well-organized, with chapters dedicated to defining normal anatomy, as well as chapters dedicated to every type of major fetal heart malformation. Each chapter has been updated and many images that were in grayscale in the first edition have been changed to color with enhanced resolution. Additionally, the line art has been redrawn in full color. The following new chapters have been added: one on pre-natal intervention in the fetus with cardiac disease, one on first-trimester fetal echocardiography and a brief chapter on 3-dimensional fetal echocardiography. Though a challenging area, the figures in first trimester chapter could have been better, but it is an important chapter, nonetheless. In all, this textbook is much improved since the first edition and represents an important resource for physicians and sonographers. Improvements are evident throughout the text, such as Chapter 3, on Cardiac Malposition. It contains much the same wording as its precedent but includes mostly new images. Chapters 4 and 5, on ASD and VSD, respectively, have pleasing color diagrams that clearly define the anatomy, as do Chapter 8 on hypoplasia of the right ventricle and Chapter 6 on AV septal defects. Chapter 9, on single ventricle, is quite complete and shows the variability of the spectrum of disorders and describes the surgical sequence used to treat them. This, of course, is important as those performing the pre-natal diagnoses need to be able to project on the natural history and care. The chapters on arrhythmias and cardiomyopathies are also complete and define the various modalities that can be used to evaluate cardiac arrhythmias, including

tissue Doppler. The chapter on hypoplastic left heart syndrome has good-quality color diagrams that outline the surgical sequence of repair for this lesion, as does the chapter on coarctation. Some chapters, such as the chapter on anomalous pulmonary vein have clear color renderings showing how that part of the heart might develop normally, or abnormally. An additional feature included in the second edition of this textbook is a CD that has high- quality movies, mostly of normal anatomy views with and without color Doppler, as well as a self-assessment section, with tests and quizzes. The CD is very well done and augments the lessons from the text. Though many of the text’s contributing authors remain constant from the first to second editions, some have been changed, including the authors who wrote the chapters on AV septal defect, hypoplastic right heart and hypoplastic left heart, tetralogy of Fallot, cardiac masses and cardiosplenic syndromes. There are fine updates to the chapters and the images. There are helpful color renderings of anatomy and morphology. The book is compact in packaging and attractive in format, and will be of use to sonographers and physicians in cardiology, obstetrics and gynecology, and perinatology who are interested in diagnosis and potentially in management of heart disease in the fetus. It will also be useful to sonographers looking to expand their knowledge and understanding of fetal heart disease and or to increase their skills in performing obstetrical ultrasound. At $101.00, including the study and illustration movie CD, this represents a very good investment for those interested in this area.

Portland, OR, USA