The pulmonary perfusion of 25 children who had total surgical correction of tetralogy of Fallot was evaluated by radionuclide perfusion scans. In addition, 18 had 133Xe ventilation studies. Eighteen of the children previously had palliative systemic-pulmonary shunts; 14 had aortic-pulmonary shunts (Waterston or Potts-Smith) and four had Blalock-Taussig shunts. Seven children had single stage to...

Pulmonary artery agenesis is one of several diagnostic possibilities which may present with similar chest roentgenographic features, including unilateral pulmonary hypoperfusion and nonvisualization of a pulmonary artery. We have applied ventilation and perfusion scintiphotography as an aid in differentiating agenesis from the other conditions with which it may be confused. Four patients presen...

In a patient with lobar atelectasis who was on positive pressure ventilatory support, ventilation and perfusion images showed absent ventilation and normal perfusion (reverse mismatch) in the region of the atelectasis and normal ventilation and decreased perfusion (true mismatch) not caused by pulmonary embolism in another lung zone. We report this case to emphasize that the lung scan findings ...

The pulmonary circuit receives the whole of the cardiac output, and the flow through it is governed by events in the systemic circulation. Its function is gaseous exchange, and the low resistance and high capacitance of the circuit is subservient to this function. Local flow is affected by intra-alveolar oxygen tensions and regional flow by passive hydrostatic effects due to gravity. The distri...

Study objective: The pulmonary parenchyma in patients with acute respiratory failure (ARF) is commonly not involved in a homogenous disease process. Conventional mechanical ventilation (MV) at elevated positive end-expiratory pressure (PEEP) and peak inspiratory pressure (PIP) aims at recruiting collapsed or nonventilated lung units. Invariably, those pressures are also transmitted to the healt...

Pulmonary tuberculosis is a disease caused by Mycobacterium and has infected nearly third of the world's population with 1.5 million deaths due to pulmonary tuberculosis. This closely related slum unhealthy environmental conditions, poor sanitation lighting, occupancy density, ventilation, room humidity are occurrence The study used observational analytic methods, design case control. all who s...

We aimed to characterise the association of pulmonary hypertension due to hypoventilation and exercise capacity, and the haemodynamic and functional changes under noninvasive ventilation. A retrospective analysis was carried out to assess haemodynamics and functional capacity in 18 patients with daytime pulmonary hypertension, due to hypoventilation, at baseline and after 3 months of noninvasiv...