Skip to main content

Part of the book series: Ettore Majorana International Science Series ((EMISS,volume 3))

  • 133 Accesses

Abstract

The major mechanisms responsible for pulmonary oedema traditionally come under two headings: hydrostatic and cytotoxic. Thus oedema of the lungs may be due to hydrostatic/oncotic forces acting on vessels of normal permeability, or to cytotoxic factors which enhance permeability irrespective of pressure gradients. Tracer substances normally retained within the blood stream are thought to distinguish between these two mechanisms by escaping when cytotoxic factors increase vascular permeability. It has been demonstrated however that permeability is affected by purely hydrostatic forces, so blurring the traditional distinction between hydrostatic and cytotoxic oedema (Pietra et al., 1968; Schneeberger and Karnovsky, 1971). Nevertheless it is convenient to consider the causes of pulmonary oedema as acting under one or other of these two mechanisms.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bensch, K.G., Gordon, G.B. and Miller, L., 1974, Fibrillar structures resembling leiomyofibrils in endothelial cells of mammalian pulmonary blood vessels, Z. Zellforsch., 63: 759–766.

    Article  Google Scholar 

  • Cottrell, T.S., Levine, O.R., Senior, R.M., Wiener, J., Spiro, D. and Fishman, A.P., 1967, Electron microscopic alterations at the alveolar level in pulmonary edema, Circul. Res., 21: 783–797.

    Article  CAS  Google Scholar 

  • Hurley, J.V., 1978, Current views on the mechanisms of pulmonary oedema, J. Pathol., 125: 59–79.

    Article  CAS  PubMed  Google Scholar 

  • Kapanci, Y., Weibel, E.R., Kapla, H.P. and Robinson, F.R., 1969, Pathogenesis and reversibility of the pulmonary lesions of oxygen toxicity in monkeys: Ultrastructural and morphometric studies, Lab. Invest., 20: 101–128.

    CAS  PubMed  Google Scholar 

  • Lauweryns, J.M., 1971, The blood and lymphatic microcirculation of the lung, in: “Pathology Annual”, Vol. 6, S.C. Sommers, ed., Appleton-Century-Crofts, New York.

    Google Scholar 

  • Pietra, G.G., 1978, The basis of pulmonary edema, with emphasis on ultrastructure, in: “The lung”, W.M. Thurlbeck and M.R. Abelt, eds., Williams and Wilkins, Baltimore.

    Google Scholar 

  • Pietra, G.G., Szidon, J.P., Carpenter, H.A. and Fishman, A.P., 1974, Bronchial venular leakage during endotoxin shock, Am. J. Pathol., 77: 387–406.

    CAS  PubMed  Google Scholar 

  • Pietra, G.G., Szidon, J.P., Leventhal, M.M. and Fishman, A.P., 1969, Hemoglobin as a tracer in hemodynamic pulmonary edema, Science, 166: 1643–1646.

    Article  CAS  PubMed  Google Scholar 

  • Schneeberger, E.E. and Karnovsky, M.J., 1971, The influence of intravascular fluid volume on the permeability of newborn and adult mouse lungs to ultrastructural protein tracers, J. Cell Biol., 49: 319–334.

    Article  CAS  PubMed  Google Scholar 

  • Schneeberger-Keeley, E.E. and Karnovsky, M.J., 1968, The ultra-structural basis of alveolar-capillary membrane permeability to peroxidase used as a tracer, J. Cell Biol., 37: 781–793.

    Article  CAS  PubMed  Google Scholar 

  • Staub, N.C., 1970, The pathophysiology of pulmonary edema, Human Path., 1: 419–432.

    Article  CAS  Google Scholar 

  • Staub, N., 1974, Pathogenesis of pulmonary edema, Amer. Rev. Resp. Dis., 109: 358–372.

    CAS  PubMed  Google Scholar 

  • Suzuki, Y., 1969, Fenestration of alveolar capillary endothelium in experimental pulmonary fibrosis and of normal bronchial capillaries, Lab. Invest., 21: 304–308.

    CAS  PubMed  Google Scholar 

  • Vijeyaratnam, G.S. and Corrin, B., 1971, Fine structural alterations in the lungs of iprindole treated rats, J. Pathol. 114: 233–239.

    Article  Google Scholar 

  • West, J.B., Dollery, C.T. and Heard, B.E., 1965, Increased pulmonary vascular resistance in the dependent zone of the isolated dag lung caused by perivascular edema, Circulation Res., 17: 191–206.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1980 Springer Science+Business Media New York

About this chapter

Cite this chapter

Cornin, B. (1980). Electron Microscopy of Pulmonary Oedema. In: Cumming, G., Bonsignore, G. (eds) Pulmonary Circulation in Health and Disease. Ettore Majorana International Science Series, vol 3. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1721-1_22

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-1721-1_22

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-1723-5

  • Online ISBN: 978-1-4757-1721-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics