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Ann Thorac Surg 1979;27:206-215
© 1979 The Society of Thoracic Surgeons


Articles

Pulmonary Reperfusion Syndrome

Dennis L. Modry, M.D., Ray Chu-Jeng Chiu, M.D.*

Division of Cardiovascular and Thoracic Surgery, McGill University and Montreal General Hospital, Montreal, Que, Canada

Accepted for publication July 28, 1978.

* Address reprint requests to Dr. Chiu, Montreal General Hospital, 1650 Cedar Ave, Montreal, Que, Canada H3G 1A4

"Reperfusion syndrome" of the lung may play a role in the pulmonary edema and hemorrhage that occur following pulmonary embolectomy, cardiopulmonary bypass, and shock. Bioenergetic, metabolic, and ultrastructural studies of canine lungs indicate that ventilated lung tissue could tolerate 5 hours of pulmonary arterial occlusion with minimal damage. However, a 24-hour interruption of pulmonary arterial blood flow produced a significant decrease in the ratio of adenosine triphosphate to adenosine diphosphate, and glycogen, and an increase in tissue lactate. Reperfusion of these lungs resulted in even more pronounced biochemical and ultrastructural deterioration, as well as gross pulmonary edema and hemorrhage. The lesion appears to be similar to the reperfusion damage that occurs in other organs, such as the kidney, and the skeletal and cardiac muscles.




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B. Koul, H. Willen, T. Sjoberg, T. Wetterberg, J. Kugelberg, and S. Steen
Pulmonary sequelae of prolonged total venoarterial bypass: Evaluation with a new experimental model
Ann. Thorac. Surg., May 1, 1991; 51(5): 794 - 799.
[Abstract] [PDF]




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