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PRIMARY PULMONARY VASCULAR SCLEROSIS

PRIMARY PULMONARY VASCULAR SCLEROSIS Abstract Primary pulmonary vascular sclerosis in the restricted sense of the term defined by Brenner1 is a rare condition. Up to 1935 Brenner collected from the literature only 15 cases, to which he added 1 of his own. This number, however, is probably incomplete; at least 1 other case should be included, the one reported by MacCallum.2 Since 1935 2 additional instances have been reported; including the case herein presented, there are now on record some 20 cases fulfilling the requirements for inclusion within this restricted group. These requirements are (1) the presence of significant hypertrophy of the right ventricle but not of the left and (2) the absence of all factors commonly believed to cause secondary pulmonary vascular sclerosis, pulmonary hypertension or isolated strain of the right side of the heart. REPORT OF A CASE A married woman aged 21 entered the Multnomah County Hospital Feb. 2, 1940 References 1. Brenner, O.: Pathology of the Vessels of the Pulmonary Circulation , Arch. Int. Med. 56:976-1014 ( (Nov.) ) 1935.Crossref 2. MacCallum, W. G.: Obliterative Pulmonary Arteriosclerosis , Bull. Johns Hopkins Hosp. 49:37-48 ( (July) ) 1931. 3. Brill, I. C., and Robertson, T. D.: Subacute Cor Pulmonale , Arch. Int. Med. 60:1043-1057 ( (Dec.) ) 1937.Crossref 4. Mönckeberg, J. G.: Ueber die genuine Arteriosklerose der Lungenarterie , Deutsche med. Wchnschr. 33:1243-1246 ( (Aug. 1) ) 1907.Crossref 5. Rössle, R.: Ueber Hypertrophie und Organkorrelation , München. med. Wchnschr. 55:377-381 ( (Feb. 25) ) 1908. 6. Sanders, W. E.: Primary Pulmonary Arteriosclerosis with Hypertrophy of the Right Ventricle , Arch. Int. Med. 3:257-262 ( (April) ) 1909.Crossref 7. Schütte, H.: Rechtsseitige Herzhypertrophie hervorgerufen durch eine entzündliche Veränderungen der kleinen Lungenarterien , Centralbl. f. allg. Path. u. path. Anat. 25:483-485, 1914. 8. Ljungdahl, M.: Untersuchungen über die Arteriosklerose des kleinen Kreislaufs , Wiesbaden, J. F. Bergmann, 1915. 9. Hart, C.: Ueber dis isolierte Sklerose der Pulmonalarterie , Berl. klin. Wchnschr. 53:304-306 ( (March 20) ) 1916. 10. Krutzsch, G.: Ueber rechtsseitige Herzhypertrophie durch Einengung des Gesamtquerschnittes der kleineren und kleinsten Lungenarterien , Frankfurt. Ztschr. f. Path. 23:247-271, 1920. 11. Eppinger, H., and Wagner, R.: Zur Pathologie der Lunge , Wien. Arch. f. inn. Med. 156:83-146, 1920. 12. Tschistowitsch, T.: Thrombo-endoartérite pulmonaire chronique , Compt. rend. Soc. de biol. 89:627, 1923. 13. Goedel, A.: Zur Kenntnis der Hypertrophie des rechten Herzens und schwerer Kreislaufstörung infolge Verödung der Lungenschlagaderperipherie , Virchows Arch. f. path. Anat. 277:507-521, 1930.Crossref 14. Kuntschik, R.: Zur Kenntnis der sogenannten primären Pulmonalsklerose , Ztschr. f. Kreislaufforsch. 23:183-198 ( (March 15) ) 1931. 15. Ulrich, H. L.: The Clinical Diagnosis of Pulmonary Arteriosclerosis , Ann. Int. Med. 6:632-644 ( (Nov.) ) 1932.Crossref 16. Cor Pulmonale, Etiology Unknown, Cabot Case 23511 , New England J. Med. 217:1045-1049 ( (Dec. 23) ) 1937.Crossref 17. Killingsworth, W. P., and Gibson, S.: Primary Proliferative Pulmonary Arteriolar Sclerosis , Am. J. Dis. Child. 57:1099-1109 ( (May) ) 1939. 18. Seely, H.: Primary Obliterative Pulmonary Arteriolar Sclerosis , J. A. M. A. 110:792-794 ( (March 12) ) 1938.Crossref 19. East, T.: Pulmonary Hypertension , Brit. Heart J. 2:189-200 ( (July) ) 1940.Crossref 20. de Navasquez, S.; Forbes, J. R., and Holling, H. E.: Right Ventricular Hypertrophy of Unknown Origin: So-Called Pulmonary Hypertension , Brit. Heart J. 2:177-188 ( (July) ) 1940.Crossref 21. Perhaps a better term would be "idiopathic cor pulmonale," which would indicate changes in the right auricle as well as in the right ventricle. 22. Fineberg, M. H., and Wiggers, C. J.: Compensation and Failure of the Right Ventricle , Am. Heart J. 11:255-263 ( (March) ) 1936.Crossref 23. Greenspan, E. B.: Carcinomatous Endarteritis of the Pulmonary Vessels Resulting in Failure of the Right Ventricle , Arch. Int. Med. 54:625-644 ( (Oct.) ) 1934.Crossref 24. Brill and Robertson.3 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

PRIMARY PULMONARY VASCULAR SCLEROSIS

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Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1941.00200090187008
Publisher site
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Abstract

Abstract Primary pulmonary vascular sclerosis in the restricted sense of the term defined by Brenner1 is a rare condition. Up to 1935 Brenner collected from the literature only 15 cases, to which he added 1 of his own. This number, however, is probably incomplete; at least 1 other case should be included, the one reported by MacCallum.2 Since 1935 2 additional instances have been reported; including the case herein presented, there are now on record some 20 cases fulfilling the requirements for inclusion within this restricted group. These requirements are (1) the presence of significant hypertrophy of the right ventricle but not of the left and (2) the absence of all factors commonly believed to cause secondary pulmonary vascular sclerosis, pulmonary hypertension or isolated strain of the right side of the heart. REPORT OF A CASE A married woman aged 21 entered the Multnomah County Hospital Feb. 2, 1940 References 1. Brenner, O.: Pathology of the Vessels of the Pulmonary Circulation , Arch. Int. Med. 56:976-1014 ( (Nov.) ) 1935.Crossref 2. MacCallum, W. G.: Obliterative Pulmonary Arteriosclerosis , Bull. Johns Hopkins Hosp. 49:37-48 ( (July) ) 1931. 3. Brill, I. C., and Robertson, T. D.: Subacute Cor Pulmonale , Arch. Int. Med. 60:1043-1057 ( (Dec.) ) 1937.Crossref 4. Mönckeberg, J. G.: Ueber die genuine Arteriosklerose der Lungenarterie , Deutsche med. Wchnschr. 33:1243-1246 ( (Aug. 1) ) 1907.Crossref 5. Rössle, R.: Ueber Hypertrophie und Organkorrelation , München. med. Wchnschr. 55:377-381 ( (Feb. 25) ) 1908. 6. Sanders, W. E.: Primary Pulmonary Arteriosclerosis with Hypertrophy of the Right Ventricle , Arch. Int. Med. 3:257-262 ( (April) ) 1909.Crossref 7. Schütte, H.: Rechtsseitige Herzhypertrophie hervorgerufen durch eine entzündliche Veränderungen der kleinen Lungenarterien , Centralbl. f. allg. Path. u. path. Anat. 25:483-485, 1914. 8. Ljungdahl, M.: Untersuchungen über die Arteriosklerose des kleinen Kreislaufs , Wiesbaden, J. F. Bergmann, 1915. 9. Hart, C.: Ueber dis isolierte Sklerose der Pulmonalarterie , Berl. klin. Wchnschr. 53:304-306 ( (March 20) ) 1916. 10. Krutzsch, G.: Ueber rechtsseitige Herzhypertrophie durch Einengung des Gesamtquerschnittes der kleineren und kleinsten Lungenarterien , Frankfurt. Ztschr. f. Path. 23:247-271, 1920. 11. Eppinger, H., and Wagner, R.: Zur Pathologie der Lunge , Wien. Arch. f. inn. Med. 156:83-146, 1920. 12. Tschistowitsch, T.: Thrombo-endoartérite pulmonaire chronique , Compt. rend. Soc. de biol. 89:627, 1923. 13. Goedel, A.: Zur Kenntnis der Hypertrophie des rechten Herzens und schwerer Kreislaufstörung infolge Verödung der Lungenschlagaderperipherie , Virchows Arch. f. path. Anat. 277:507-521, 1930.Crossref 14. Kuntschik, R.: Zur Kenntnis der sogenannten primären Pulmonalsklerose , Ztschr. f. Kreislaufforsch. 23:183-198 ( (March 15) ) 1931. 15. Ulrich, H. L.: The Clinical Diagnosis of Pulmonary Arteriosclerosis , Ann. Int. Med. 6:632-644 ( (Nov.) ) 1932.Crossref 16. Cor Pulmonale, Etiology Unknown, Cabot Case 23511 , New England J. Med. 217:1045-1049 ( (Dec. 23) ) 1937.Crossref 17. Killingsworth, W. P., and Gibson, S.: Primary Proliferative Pulmonary Arteriolar Sclerosis , Am. J. Dis. Child. 57:1099-1109 ( (May) ) 1939. 18. Seely, H.: Primary Obliterative Pulmonary Arteriolar Sclerosis , J. A. M. A. 110:792-794 ( (March 12) ) 1938.Crossref 19. East, T.: Pulmonary Hypertension , Brit. Heart J. 2:189-200 ( (July) ) 1940.Crossref 20. de Navasquez, S.; Forbes, J. R., and Holling, H. E.: Right Ventricular Hypertrophy of Unknown Origin: So-Called Pulmonary Hypertension , Brit. Heart J. 2:177-188 ( (July) ) 1940.Crossref 21. Perhaps a better term would be "idiopathic cor pulmonale," which would indicate changes in the right auricle as well as in the right ventricle. 22. Fineberg, M. H., and Wiggers, C. J.: Compensation and Failure of the Right Ventricle , Am. Heart J. 11:255-263 ( (March) ) 1936.Crossref 23. Greenspan, E. B.: Carcinomatous Endarteritis of the Pulmonary Vessels Resulting in Failure of the Right Ventricle , Arch. Int. Med. 54:625-644 ( (Oct.) ) 1934.Crossref 24. Brill and Robertson.3

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1941

References

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