Abstract
The thickness of the media of pulmonary veins and arteries was morphometrically assessed in 12 normal adults resident at altitudes over 3000 m and 12 resident at sea level. The pulmonary veins in the latter group were very thin walled. The average thickness of the pulmonary venous media in the group of highlanders was significantly thicker but this appeared to be due to prominent medial hypertrophy in seven individuals, five others having normal or near-normal pulmonary veins. In six of the 12 highlanders bundles of longitudinal smooth muscle cells occurred in the venous intima. There was close correlation between the thickness of the venous and that of the arterial media, suggesting an individual reactivity with a simultaneous response of all pulmonary vascular smooth muscle to high-altitude hypoxia. Hypertrophy of the media of pulmonary veins is likely to be an expression of venoconstriction and narrowing of the venous lumen may be enhanced by the development of longitudinal smooth muscle cells in the intima. Possibly venoconstriction is one of the factors responsible for high-altitude pulmonary oedema.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ARIAS-STELLA J., SALDANA M. THE TERMINAL PORTION OF THE PULMONARY ARTERIAL TREE IN PEOPLE NATIVE TO HIGH ALTITUDES. Circulation. 1963 Nov;28:915–925. doi: 10.1161/01.cir.28.5.915. [DOI] [PubMed] [Google Scholar]
- Dingemans K. P., Wagenvoort C. A. Pulmonary arteries and veins in experimental hypoxia. An ultrastructural study. Am J Pathol. 1978 Nov;93(2):353–368. [PMC free article] [PubMed] [Google Scholar]
- Grover R. F. Pulmonary circulation in animals and man at high altitude. Ann N Y Acad Sci. 1965 Sep 8;127(1):632–639. doi: 10.1111/j.1749-6632.1965.tb49429.x. [DOI] [PubMed] [Google Scholar]
- HULTGREN H. N., SPICKARD W. B., HELLRIEGEL K., HOUSTON C. S. High altitude pulmonary edema. Medicine (Baltimore) 1961 Sep;40:289–313. doi: 10.1097/00005792-196109000-00002. [DOI] [PubMed] [Google Scholar]
- Hasleton P. S., Heath D., Brewer D. B. Hypertensive pulmonary vascular disease in states of chronic hypoxia. J Pathol Bacteriol. 1968 Apr;95(2):431–440. doi: 10.1002/path.1700950213. [DOI] [PubMed] [Google Scholar]
- NAEYE R. L. PULMONARY VASCULAR CHANGES WITH CHRONIC UNILATERAL PULMONARY HYPOXIA. Circ Res. 1965 Aug;17:160–167. doi: 10.1161/01.res.17.2.160. [DOI] [PubMed] [Google Scholar]
- Penaloza D., Sime F. Circulatory dynamics during high altitude pulmonary edema. Am J Cardiol. 1969 Mar;23(3):369–378. doi: 10.1016/0002-9149(69)90517-7. [DOI] [PubMed] [Google Scholar]
- Wagenvoort C. A., Wagenvoort N. Hypoxic pulmonary vascular lesions in man at high altitude and in patients with chronic respiratory disease. Pathol Microbiol (Basel) 1973;39(3):276–282. doi: 10.1159/000162661. [DOI] [PubMed] [Google Scholar]
- Wagenvoort C. A., Wagenvoort N. Pulmonary venous changes in chronic hypoxia. Virchows Arch A Pathol Anat Histol. 1976 Nov 22;372(1):51–56. doi: 10.1007/BF00429716. [DOI] [PubMed] [Google Scholar]
- Weir E. K., Tucker A., Reeves J. T., Will D. H., Grover R. F. The genetic factor influencing pulmonary hypertension in cattle at high altitude. Cardiovasc Res. 1974 Nov;8(6):745–749. doi: 10.1093/cvr/8.6.745. [DOI] [PubMed] [Google Scholar]