Abstract About ninety years ago Rokitansky1 observed a marked inconspicuousness of pulmonary tuberculosis in passively congested lungs. He asserted that diseases of the heart and of the blood vessels producing passive congestion of the lungs are a preventive of phthisis. How these observations led Bier to introduce as a therapeutic measure the artificially produced passive hyperemia that now bears his name is a matter of history. Since the reports of Rokitansky, many able clinicians have been impressed by the favorable influence on tuberculosis of cardiac or pulmonary diseases which invoke passive congestion. They likewise have been impressed by the unfavorable influence of diseases which are associated with hyperventilation of the lungs. Among those who have made definite comment on these phenomena are Osler, Weiss,2 Walsh,3 Fishberg,4 Hoffmann,5 Brügelmann and Sewall.6 Certain pathologic states, such as mitral stenosis and cardiac decompensation, are definitely associated with chronic References 1. Rokitansky: Handbuch der pathologischen Anatomie , Vienna, Braunmüller u. Seidel, 1844, vol. 2, p. 520. 2. Weiss, A.: Wien. klin. Wchnschr. 25:697, 1912. 3. Walsh, J.: Am. Rev. Tuberc. 6:975, 1922. 4. Fishberg, Maurice: Pulmonary Tuberculosis , Philadelphia, Lea & Febiger, 1916. 5. Hoffmann, F. A., in Nothnagel, C. W. H.: Diseases of the Bronchi, Pleura and Lungs , Philadelphia, W. B. Saunders Company, 1903, p. 241. 6. Sewall, H.: Occult Tuberculosis , Am. Rev. Tuberc. 3:665 ( (Jan.) ) 1920. 7. Malone, J. T.: Bronchial Asthma and Tuberculosis , U. S. Vet. Bur. M. Bull. 4:222 ( (March) ) 1928. 8. Da Costa, J. C.: Modern Surgery, General and Operative , ed. 8, Philadelphia, W. B. Saunders Company, 1919, p. 260. 9. Lilienthal, H.: Thoracic Surgery , Philadelphia, W. B. Saunders Company, 1925, vol. 2, p. 484. 10. Bruns: Beitr. z. Klin. d. Tuberk. 24:253, 1913. 11. Van Allen, C. M.; Nocoll, G. L., and Tuttle, William: Lung Changes After Occlusion of Pulmonary Artery Branches by Embolus and by Ligature , Yale J. Biol. & Med. 2:363 ( (May) ) 1930. 12. Wherry, W. B., and Ervin, D. M.: The Necessity of Carbon Dioxide for the Growth of B. Tuberculosis , J. Infect. Dis. 22:194, 1918. 13. Corper, H. J.; Gauss, Harry, and Rensch, O. B.: Resistance to Tuberculosis: A Non-Immunologic Chemical Factor Worthy of Consideration , J. A. M. A. 76:1216 ( (April 30) ) 1921. 14. Novy, F. G.; Roehm, H. R.; Soule, M. H., and Novy, F. G., Jr.: J. Infect. Dis. 36:109 and 343, 1925. 15. Corper, H. J.; Lurie, M. B., and Uyei, Nao: The Variability of Localization of Tuberculosis in the Organs of Different Animals: III. The Importance of the Growth of Tubercle Bacilli as Determined by Gaseous Tension , Am. Rev. Tuberc. 15:65, 1927. 16. The Gluckson strain of B. tuberculosis was supplied to us by H. J. Corper. 17. Corper, H. J., and Goldberg, Max: Am. Rev. Tuberc. 8:567, 1924. 18. Levinson, S. A., and Peterson, W. F.: Effect of Passive Hyperemia of the Liver on Tubercle Formation , J. A. M. A. 81:723 ( (Sept. 1) ) 1923. 19. Fox, Herbert: Some Observations on the Development of Pulmonary Tuberculosis in Lower Animals as Compared and Contrasted with Similar Lesions in Man , Am. Rev. Tuberc. 17:435, 1928. 20. Smith, Theobald: Certain Aspects of Natural and Acquired Resistance to Tuberculosis and Their Bearing on Preventive Measures , J. A. M. A. 68:764 ( (March 10) ) 1917. 21. Krause, A. K.: Am. Rev. Tuberc. 4:135, 1920. 22. Dr. Hansmann and Dr. Schenken aided us in the interpretation of these sections.
Archives of Surgery – American Medical Association
Published: Apr 1, 1934