Open Heart

A Cardiac Surgeon's Stories of Life and Death on the Operating Table

By: Stephen Westaby

Narrated by: Gordon Griffin

In gripping prose, one of the world's leading cardiac surgeons lays bare both the wonder and the horror of a life spent a heartbeat away from death

When Stephen Westaby witnessed a patient die on the table during open-heart surgery for the first time, he was struck by the quiet, determined way the surgeons walked away. As he soon understood, this detachment is a crucial survival strategy in a profession where death is only a heartbeat away. In Open Heart, Westaby reflects on over 11,000 surgeries, showing us why the procedures have never become routine and will never be. With astonishing compassion, he recounts harrowing and sometimes hopeful stories from his operating room: we meet a pulseless man who lives with an electric heart pump, an expecting mother who refuses surgery unless the doctors let her pregnancy reach full term, and a baby who gets a heart transplant-only to die once it's in place.

For readers of Atul Gawande's Being Mortal and of Henry Marsh's Do No Harm, Open Heart offers a soul-baring account of a life spent in constant confrontation with death.

Critic reviews

"In this unsentimental account, a British doctor offers gripping stories of operations and blasts the National Health Service for failing to pay for lifesaving equipment. The deaths that truly madden him are those that could have been prevented with available technologies."—New York Times Book Review, Editor's Choice

"In 'Open Heart, British cardiac surgeon Stephen Westaby shares often astonishing stories of his own operating-room experiences, illuminating the science and art of his specialty through the patients whose lives he has saved and, in some cases, lost....What makes Dr. Westaby's stories so compelling...is that he can't quite suppress his humanity."—Wall Street Journal

"Refreshingly, Westaby does not put a positive spin on suffering or cleave to false optimism... a reminder that nationalized medicine might ease the racial and economic injustices that currently determine which people die too soon, but it wouldn't spell the end of medically preventable deaths."—New York Times Book Review

"Westaby's highly readable Open Heart is part memoir, part how-to (perform open-heart surgery, that is) and part All Creatures Great and Small-style reflection, with stories throughout about cases he's encountered during his journey from eager medical student to seen-it-all senior physician... a heart-tugger, and a fascinating read."—BookPage

"A cracking example of a thriving sub-genre of autobiography, the medical memoir. Anyone who enjoyed the 2014 bestseller Do No Harm by the brain surgeon Henry Marsh, a friend of Westaby's, will relish [this book], too.... Each story is gripping, written in a vivid, almost brutal way that matches the blood and gore of cardiac surgery." —Financial Times

"[Westaby's] writing is bluff, workmanlike and thrilling... a frank and absorbing memoir by a man who has done about as much direct good to his fellow human beings as it is possible to do in one lifetime." —The Times, Book of the Week

"British surgeon and artificial heart pioneer Stephen Westaby's Open Heart is a thrilling memoir of some of his most challenging cases.... Each case is more astonishing than the next." —Shelf Awareness

"[A] dazzling memoir." —Publishers Weekly, starred review

"Westaby is everything you would hope from a maverick surgical genius: authoritative, engaged, passionate and opinionated. His book, annoyingly well written for someone who has penned only medical papers and handbooks, reads like a thriller, except with rather more corpses." —The Times (UK)

Great book

This book is phenomenal. Highly recommend it. The author presents the story concisely and intellectually while being clever and often funny. My new favorite book.

Practicing EP

As a practicing EP doc, I greatly enjoyed hearing memoirs and CT surgical history from a excellent, thoughtful and driven surgeon.

Riviting masterful storytelling

Dr. Westaby is as masterful at storytelling as he is at heart surgery. Riviting to the end. Loved it. Couldn't agree more with his conclusions about modern medicine. Great read and motivating to the profession. Thank you Dr. Westaby for sharing your lifes journey as a cardiac sugeon. Couldn't put the book down, loved all the personal touches of patients lives and struggles. A must read for anyone, soul searching.

exciting read if you work in cardiology

The author sounds like he's an awful coworker, but the stories are fascinating. Anyone who works in a medical profession would probably find this very interesting. It's a bit gory for a general audience.

Surgeons are no better than Flytiers

It was OK, but still gave it three five star medals, and you might ask Why?
It held my interest because this particular heart surgeon was like no other I have read about, as I believe he believed in God and the randomness of life itself.