On pathology of the pulmonary artery

1935 ◽  
Vol 31 (1) ◽  
pp. 19-27
Author(s):  
I. P. Vasiliev ◽  
N. S. Podolsky

The acquired lesions of the pulmonary artery and its branches are rarely found on the section table, which can partly be explained by the special anatomophysiological relations in the small circle of blood circulation, and of course, also by the fact that changes in this system are not always visible at autopsies and in some cases go unnoticed. In recent years, however, the issue of changes in the pulmonary artery has become the focus of attention for both clinicians and pathologists. Therefore, any observation relating to small circle vessels that does not fit within the framework of normal changes is worthy of attention.

2021 ◽  
Vol 4 (6) ◽  
pp. 38-48
Author(s):  
Jéssica Caetano da Fré ◽  
◽  
Carla Novelli da Silva ◽  
Sandra Márcia Tietz Marques ◽  

The ductus arteriosus is an arterial shunt between the aorta and a pulmonary artery, physiological during fetal development, during this period it shunts away part of the blood circulation that would go to the lungs, which at that moment are still afunctional. After birth, there is a physiological closure of this duct, its non-occlusion is called persistent ductus arteriosus (PDA), which is treated surgically. We report the clinical case of a female canine of the German dwarf spitz breed that was diagnosed with PDA in a routine pediatric pre-vaccination consultation. Doppler echocardiography was then performed with confirmation of PDA. Treatment consisted of surgical correction using the standard technique of ligation of the patent ductus arteriosus. The procedure was successful with the patient's recovery.


Author(s):  
Naveen V. Thuramalla ◽  
William I. Douglas ◽  
Prem Rachakonda ◽  
Jamey D. Jacob ◽  
Charles F. Knapp

Hypoplastic left heart syndrome (HLHS) is a leading cause of cardiac death among newborns, in which the entire left side of the heart is underdeveloped and unable to support the blood circulation. It is the most common type of single ventricle physiology (SVP) and an important need for an adjustable systemic to pulmonary artery (SPA) shunt. In order to achieve full range control of blood flow between the systemic and pulmonary circulation, an adjustable SPA shunt is being developed. SPA shunts are generally made from FDA approved polytetrafluroethylene (PTFE). A screw-plunger mechanism is being used to cause the desired constriction in the pressurized shunt. It is necessary to optimize the design of the plunger, in order to vary the cross-section of the shunt with minimum forces required. An in vitro set up consisting of a hydraulic circuit to have a constant inlet pressure to the shunt throughout the process and a certain post shunt pressure initially, plunger attached to the force gauge mounted on a stand to cause constriction and measure forces, a mounting stand to hold the shunt and its casing, a flow meter and pressure transducers, is used to determine the effect of various plunger tip shapes. It was observed that wider the plunger, lesser is the force required to cause the same reduction in flow. Flow-displacement-force variations for each plunger tip used are also presented. Results from this study will be used to determine the torque required to drive the screw plunger mechanism to cause the desired constriction.


2019 ◽  
Vol 18 (1) ◽  
pp. 5-16
Author(s):  
V. I. Amosov ◽  
V. Р. Zolotnitskaia

Radiological diagnosis of diseases of the respiratory system includes a number of methods based on various ways of obtaining information about the state of the chest organs. Most of the applied methods are aimed at identifying structural changes in the lung parenchyma, however, with the development of lung diseases, the pathological process affects all anatomical structures of the lungs, without exception, including the vascular bed of the lungs, primarily due to its microcirculatory level, therefore, this process requires special attention of specialists to the methods detecting changes in the pulmonary microvasculature. Depending on the purposes of the study, various methods of radiologic diagnosis should be used in combination. The review provides a brief anatomical characteristic of the capillary bed of the lungs. History of the study of blood circulation in a small circle is discussed, and modern methods of radiologic research are used to detect lung diseases.


2020 ◽  
Vol 8 (5) ◽  
pp. 495-496
Author(s):  
S. Yu. Khazan

The author aims to more closely determine the cause of one of the changes occurring in the body of a newborn when an independent life occurs, namely, a sudden obstruction of the anastomosis existing in the uterine life, between the trunk of the pulmonary artery and the aorta, the so-called ductus arteriosus Batalli.


Author(s):  
L. Ya. Posolenyk

Summary. The salivary glands are a special group of secretory organs that play a significant role in dental health of the population, as well as one of the vital functions of the whole human body. With the development of modern medical science, clinicians have often diagnosed salivary gland pathology. One of the most important problems of these pathologies is the study of direct and reverse effects of organs on each other, the principles of their correlations and methods of morphological expression. In recent decades, there has also been an increase of pulmonary lesions, which are accompanied by hypertension in the small circulation and lead to the development of pulmonary heart disease and its decompensation. There are isolated studies on the features of the involvement of the mandibular gland in the pathological process, and only some works reflect the structural changes of the submandibular gland in hemodynamic disorders. The aim of the work – to study morphometric aspects of mandibular arteries reorganization in simulated post-resection arterial pulmonary hypertension. Material and Methods. The arteries of medium (51–125) μm and small (26–50) μm calibers [16] of the mandibular salivary gland of 27 Vietnamese pigs, which were divided into 3 groups, were studied by a complex of histological and morphometric methods. Group 1 included 9 intact animals aged 6.5–7 months, group 2 – 12 pigs of the same age with post-resection pulmonary hypertension and compensated pulmonary heart, group 3 – 6 animals 6.5–7 months with pulmonary hypertension and decompensated pulmonary heart. Results and Discussion. Hypertension (one-month term) in the small circle of blood circulation, which occurred after right-sided pulmonectomy led to the development of pulmonary heart and venous stasis in the organs of the large circle of blood circulation, including in the mandibular gland. At arterial hypertension in a small circle of blood circulation essential structural reorganization of arteries of a mandibular gland is revealed. Although morphological changes were found in the arteries of small caliber of the studied organ and in the decompensation of the pulmonary heart. Conclusions. Our morphological study provided comprehensive information on the features of remodeling of the mandibular arteries in postresection arterial pulmonary hypertension. Prolonged pulmonary hypertension leads to structural rearrangement of the arteries of the middle and small caliber of the mandible, which is characterized by thickening of the membrane, narrowing their lumen and endothelial cells damage, impaired blood supply and hypoxia in the body. The biggest changes are in the arteries of the small caliber of the mandibular gland and in the decompensation of the pulmonary heart in 6.5–7 month old male pigs of the Vietnamese breed.


2019 ◽  
Vol 133 (20) ◽  
pp. 2045-2059 ◽  
Author(s):  
Da Zhang ◽  
Xiuli Wang ◽  
Siyao Chen ◽  
Selena Chen ◽  
Wen Yu ◽  
...  

Abstract Background: Pulmonary artery endothelial cell (PAEC) inflammation is a critical event in the development of pulmonary arterial hypertension (PAH). However, the pathogenesis of PAEC inflammation remains unclear. Methods: Purified recombinant human inhibitor of κB kinase subunit β (IKKβ) protein, human PAECs and monocrotaline-induced pulmonary hypertensive rats were employed in the study. Site-directed mutagenesis, gene knockdown or overexpression were conducted to manipulate the expression or activity of a target protein. Results: We showed that hydrogen sulfide (H2S) inhibited IKKβ activation in the cell model of human PAEC inflammation induced by monocrotaline pyrrole-stimulation or knockdown of cystathionine γ-lyase (CSE), an H2S generating enzyme. Mechanistically, H2S was proved to inhibit IKKβ activity directly via sulfhydrating IKKβ at cysteinyl residue 179 (C179) in purified recombinant IKKβ protein in vitro, whereas thiol reductant dithiothreitol (DTT) reversed H2S-induced IKKβ inactivation. Furthermore, to demonstrate the significance of IKKβ sulfhydration by H2S in the development of PAEC inflammation, we mutated C179 to serine (C179S) in IKKβ. In purified IKKβ protein, C179S mutation of IKKβ abolished H2S-induced IKKβ sulfhydration and the subsequent IKKβ inactivation. In human PAECs, C179S mutation of IKKβ blocked H2S-inhibited IKKβ activation and PAEC inflammatory response. In pulmonary hypertensive rats, C179S mutation of IKKβ abolished the inhibitory effect of H2S on IKKβ activation and pulmonary vascular inflammation and remodeling. Conclusion: Collectively, our in vivo and in vitro findings demonstrated, for the first time, that endogenous H2S directly inactivated IKKβ via sulfhydrating IKKβ at Cys179 to inhibit nuclear factor-κB (NF-κB) pathway activation and thereby control PAEC inflammation in PAH.


2005 ◽  
Vol 6 (1) ◽  
pp. 64-64
Author(s):  
A CESARIO ◽  
D ONORATI ◽  
V CARDACI ◽  
S MARGARITORA ◽  
V PORZIELLA ◽  
...  

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