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Chest, Vol 77, 525-530, Copyright © 1980 by American College of Chest Physicians


ARTICLES

Experimental pulmonary hypertension produced by surgical and chemical denervation of the pulmonary vasculature

CE Juratsch, JA Jengo, J Castagna and MM Laks

The purpose of this study was to investigate the hypothesis that balloon distention of the main pulmonary artery (MPA) induces pulmonary hypertension that is produced by a neural reflex and to investigate the possible efferent components of its reflex arc. Using a specially designed triple-lumen balloon catheter, positioned under fluoroscopy in the MPA, the hemodynamic responses to MPA distention were studied before and after the following: surgical denervation of the bifurcation of the MPA, chemical sympathectomy (6-hydroxydopamine), 100 percent oxygen breathing, and vagotomy. Our findings suggest that the experimental pulmonary hypertension caused by distention of the MPA is produced by excitation of stretch receptors in or near the bifurcation of the MPA and that the efferent limb of this reflex is predominantly mediated via the adrenergic nervous system.





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Copyright © 1980 by the American College of Chest Physicians.