This page intentionally left blank eBook versions available through Kindle, Nook, and other fine providers of eBooks Institutional Licensing available at www.NetterReference.com THE NETTER COLLECTION Medical Illustrations of 2nd Edition Reproductive System Endocrine System Respiratory System Integumentary System Urinary System Musculoskeletal System Digestive System Nervous System Cardiovascular System VOLUME 8 The Netter Collection OF MEDICAL ILLUSTRATIONS Cardiovascular System 2nd Edition A compilation of paintings prepared by Frank H. Netter, MD Edited by C. Richard Conti, MD, MACC, FESC, FAHA Emeritus Professor of Medicine University of Florida College of Medicine Gainesville, Florida Additional Illustrations by Carlos A. G. Machado, MD CONTRIBUTING ILLUSTRATORS Tiffany S. DaVanzo, MA, CMI John A. Craig, MD James A. Perkins, MS, MFA Anita Impagliazzo, MA, CMI 1600 John F. Kennedy Blvd. Ste. 1800 Philadelphia, PA 19103-2899 THE NETTER COLLECTION OF MEDICAL ILLUSTRATIONS: ISBN: 978-1-4557-4229-5 CARDIOVASCULAR SYSTEM, VOLUME 8, SECOND EDITION Copyright © 2014 by Saunders, an imprint of Elsevier Inc. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Permission for Netter Art figures may be sought directly from Elsevier’s Health Science Licensing Department in Philadelphia, PA: phone 1-800-523-1649, ext. 3276, or (215) 239-3276; or email [email protected] Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. ISBN: 978-1-4557-4229-5 Senior Content Strategist: Elyse O’Grady Content Development Manager: Marybeth Thiel Publishing Services Manager: Patricia Tannian Senior Project Manager: John Casey Senior Design Manager: Lou Forgione Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 ABOUT THE SERIES Dr. Frank H. Netter exemplified the CUSHING’S SYNDROME IN A PATIENT WITH THE CARNEY COMPLEX distinct vocations of doctor, artist, and teacher. Even more important, he unified them. Netter’s illustrations always began with meticulous research into the forms of the body, a philosophy that steered his broad and deep medical understanding. He often said: “Clarifi- Carney complex is characterized cation is the goal. No matter how beau- by spotty skin pigmentation. Pigmented lentigines and blue tifully it is painted, a medical illustration nevi can be seen on the face– including the eyelids, vermillion has little value if it does not make clear bcoonrdjuenrsc otifv athee, tlhipes ,s cthleera–and the a medical point.” His greatest challenge labia and scrotum. and greatest success was charting a Additional features of the middle course between artistic clarity Carney complex can include: Myxomas: cardiac atrium, and instructional complexity. That cutaneous (e.g., eyelid), and mammary success is captured in this series, begin- Testicular large-cell ning in 1948, when the first compre- calcifying Sertoli cell tumors hensive collection of Netter’s work, a Gsercoewretthin-hgo prmituointaery adenomas Dr. Frank Netter at work. single volume, was published by CIBA Psammomatous melanotic schwannomas Pharmaceuticals. It met with such success that over the following 40 years the collection was expanded into an 8-volume series—each devoted to a single body system. In this second edition of the legendary series, we are delighted to offer Netter’s timeless work, now arranged and informed by modern text and radiologic imaging contributed by field-leading doctors and teachers from world-renowned medical institutions and supplemented with new illustrations created by artists working in the PPNAD adrenal glands are usually of normal size and most are studded with black, brown, or red nodules. Most of the pigmented Netter tradition. Inside the classic green covers, stu- nodules are less than 4 mm in diameter and interspersed in the adjacent atrophic cortex. dents and practitioners will find hundreds of original A brand new illustrated plate painted by Carlos works of art—the human body in pictures—paired with Machado, MD, for The Endocrine System Volume 2. the latest in expert medical knowledge and innovation, and anchored in the sublime style of Frank Netter. Notable artist-physician, Carlos Machado, MD, the The single-volume “blue book” that paved the way for the multivolume Netter Collection of Medical Illustrations primary successor responsible for continuing the Netter series, affectionately known as the “green books.” tradition, has particular appreciation for the “green book” series: “The Reproductive System is of special sig- nificance for those who, like me deeply admire Dr. Netter’s work. In this volume, he masters the representation of tex- tures of different surfaces, which I like to call ‘the rhythm of the brush,’ since it is the dimension, the direction of the strokes and the interval separating them that create the illu- sion of given textures: organs have their external surfaces, the surfaces of their cavities, and texture of their parenchy- mas realistically represented. It set the style for the subsequent volumes of Netter’s Collection, each an amazing combination of painting masterpieces and precise scientific information.” Though the science and teaching of medicine endures changes in terminology, practice, and discovery, some things remain the same. A patient is a patient. A teacher is a teacher. And the pictures of Dr. Netter—he called them pictures, never paintings—remain the same blend of beautiful and instructional resources that have guided physicians’ hands and nurtured their imaginations for over half a century. The original series could not exist without the dedi- cation of all those who edited, authored, or in other ways contributed, nor, of course, without the excellence of Dr. Netter. For this exciting second edition, we also owe our gratitude to the authors, editors, Advisors, and artists whose relentless efforts were instrumental in Dr. Carlos Machado at work. adapting these timeless works into reliable references for today’s clinicians in training and in practice. From all of us with the Netter Publishing Team at Elsevier, we thank you. THE NETTER COLLECTION OF MEDICAL ILLUSTRATIONS v