Significance of the Pulmonary Vascular Bed in Congenital Heart Disease: V. Lesions of the Left Side of the Heart Causing Obstruction of the Pulmonary Venous Return

Charlotte Ferencz, J. Francis Dammann
Johns Hopkins University and Hospital. University of Verginia.
United States

Circulation
Circulation 1957; 16:1046-1056
DOI: 10.1161/01.cir.16.6.1046

Abstract
A microscopic study was made of the lungs of 18 patients with congenital malformations of the heart in which there was obstruction of pulmonary venous drainage. Alterations in various components of the pulmonary vascular bed and of the lung parenchyma were described and correlated with the clinical course and the type of malformation present. A quantitative evaluation of the pulmonary arterial thickening was made by determining the lumen:wall ratio of small vessels. The anatomic alterations found in these children were compared to those of adults with acquired mitral stenosis.

Category
Class II. Pulmonary Hypertension Associated with Pulmonary Vein Stenosis
Pulmonary Vascular Pathology

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes

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