Document Detail


Bronchovascular cuff formation and lung lymph flow in edema formation of anesthetized sheep.
MedLine Citation:
PMID:  19927900     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationship between bronchovascular cuff formation and lung lymph flow in hydrostatic edema was evaluated. After a balloon was inserted into the left atrium to increase left atrial pressure for 5 hrs, peripheral lung tissues were resected for analysis of the wet-dry ratio and cuff formation. The degree of cuff formation was expressed as the cuff ratio (outer diameter of cuff/outer diameter of microvessel or airway) in three size categories: 80-200, 200-400, and 400-750 microm in diameter. The amount of excess lung lymph (Ex LL) for 5 hrs was calculated from the recorded data for the whole lymph flow wave. The wet-dry ratio showed a significant correlation with ALAP and lung lymph flow increased significantly (flow rate, 0.67 +/- 0.46 ml/min (mean +/- SD); Ex LL, 56.4 +/- 47.6 ml). Cuff formation was found at all levels of the bronchovascular tree, with a larger cuff ratio (> 1.3) observed at arteries and veins of 80-200 microm in diameter, but a significant correlation with Ex LL was found only for arteries of 80-200 microm. Fluid accumulation in lung interstitium first occurred at smaller extra-alveolar arteries even under mild hydrostatic pressure elevation with a significant increase in lymph flow.
Authors:
T Naito; Y Ozawa; M Tomoyasu; M Inagaki; M Fukue; Y Goto; M Sakai; T Yamamoto; S Ishikawa; M Onizuka
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Lymphology     Volume:  42     ISSN:  0024-7766     ISO Abbreviation:  Lymphology     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-11-20     Completed Date:  2009-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0155112     Medline TA:  Lymphology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  112-22     Citation Subset:  IM    
Affiliation:
Department of Respiratory Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Animals
Edema / etiology,  physiopathology*
Heart Atria / physiopathology
Lung / physiopathology*
Lymph / physiology*
Pressure
Sheep

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