Authors
FHJ Kaptein, LJM Kroft, G Hammerschlag, MK Ninaber, MP Bauer, MV Huisman, FA Klok
Publication date
2021/6/1
Source
Thrombosis Research
Volume
202
Pages
162-169
Publisher
Pergamon
Description
Pulmonary infarction results from occlusion of the distal pulmonary arteries leading to ischemia, hemorrhage and ultimately necrosis of the lung parenchyma. It is most commonly caused by acute pulmonary embolism (PE), with a reported incidence of around 30%. Following an occlusion of the pulmonary artery, the bronchial arteries are recruited as primary source of perfusion of the pulmonary capillaries. The relatively higher blood pressure in the bronchial circulation causes an increase in the capillary blood flow, leading to extravasation of erythrocytes (i.e. alveolar hemorrhage). If this hemorrhage cannot be resorbed, it results in tissue necrosis and infarction. Different definitions of pulmonary infarction are used in literature (clinical, radiological and histological), although the diagnosis is nowadays mostly based on radiological characteristics. Notably, the infarcted area is only replaced by a fibrotic scar over a …
Total citations
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Scholar articles
FHJ Kaptein, LJM Kroft, G Hammerschlag, MK Ninaber… - Thrombosis Research, 2021