Air-blood barrier injury during cardiac operations with the use of cardiopulmonary bypass (CPB). An old story? A morphological study

Scandinavian Cardiovascular Journal

Volumn 37, Issue 4, 2003, Pages 216-221

  Wasowicz, Marcin ^a,b   Sobczyński, Paweła ^c   Drwiła, Rafał ^a,b   Marszałek, Andrzej ^c   Biczysko, Wiesława ^c   Andres, Janusz ^b  

^a Krakowski Szpital Specjalistyczny Im Jana Pawła II   (Poland)

^b JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE   (Poland)

^c POZNAN UNIVERSITY OF MEDICAL SCIENCES   (Poland)

Author keywords

Cardiopulmonary bypass; Lung injury; Surfactant system; Ultrastructure

Indexed keywords

LUNG SURFACTANT;

ADULT; AGED; ARTICLE; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; CLINICAL OBSERVATION; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; DISEASE ASSOCIATION; ELECTRON MICROSCOPY; EXTRACORPOREAL CIRCULATION; FEMALE; HEART SURGERY; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; LUNG ALVEOLUS; LUNG CAPILLARY; LUNG GAS EXCHANGE; LUNG INJURY; LUNG PARENCHYMA; MALE; MICROSCOPY; MORBIDITY; MORPHOLOGY; MORTALITY; PEROPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RESPIRATORY SYSTEM; SURGICAL TECHNIQUE; TECHNOLOGY;

AGED; BIOPSY; BLOOD-AIR BARRIER; CAPILLARIES; CARDIOPULMONARY BYPASS; CORONARY ARTERY BYPASS; ENDOTHELIUM, VASCULAR; ERYTHROCYTES; FEMALE; HUMANS; MALE; MICROSCOPY, ELECTRON, SCANNING; MICROSCOPY, POLARIZATION; MIDDLE AGED; NEUTROPHILS; SEVERITY OF ILLNESS INDEX; STATISTICS; TREATMENT FAILURE;

EID: 10744226003     PISSN: 14017431     EISSN: None     Source Type: Journal    
DOI: 10.1080/14017430310002059     Document Type: Article

References (24)

1. Chenoweth DE, Cooper SW, Hugli TE, Stewart RW, Blackstone EH, Kirklin JW. Complement activation during cardiopulmonary bypass. N Engl J Med 1981; 304: 497-503.
2. Mandelbaum I, Giammona S. Extracorporeal circulation, pulmonary compliance and/pulmonary surfactant. J Thorac Cardiovasc Surg 1964; 48: 881-889.
3. Hsu L-C. Biocompatibility of cardiopulmonary bypass. J Cardiothorac Vasc Anesth 1997; 11: 376-382.
4. Ranieri VM, Vitale N, Gasso S, et al. Time-course of impairment of respiratory mechanics after cardiac surgery and cardiopulmonary bypass. Crit Care Med 1999; 27: 1454-1460.
5. Rady MY, Ryan T, Starr NJ. Early onset of acute pulmonary dysfunction after cardiovascular surgery: Risk factors and clinical outcome. Crit Care Med 1997; 25: 1831-1839.
6. Asimakopoulos GM, Smith PL, Ratnatunga CP, Taylor KM. Lung injury and acute respiratory distress syndrome after cardiopulmonary bypass. Ann Thorac Surg 1999; 68: 1107-1115.
7. Wasowicz M, Zurawski P, Florek E, Seńczuk W, Biczysko W. Retardation of lung development after maternal cigarette smoking and low protein diet in animal model. Pol J Pathol 1994; 45: 155-166.
8. Schiller HJ, McCann UG, II, Carney DE, Gatto LA, Steiberg JM, Nieman GF. Altered alveolar mechanics in the acutely injured lung. Crit Care Med 2001; 29: 1049-1055.
9. Biczysko W, Wasowicz M, Marszałek A, Florek E. Why do the lungs of premature newborns function improperly? A morphological study of the connective tissue and vascular compartments in the developing lung. Arch Perinat Med 1999; 5: 19-26.
10. Spragg RG, Lewis JF. Pathology of the surfactant system of the mature lung. Am J Respir Crit Care Med 2001; 163: 280-282.
11. Lynch MJ, Grum CM, Gallagher KP, Bolling SF, Deeb GM, Morganroth ML. Xanthine oxidase inhibition attenuates ischemic-reperfusion lung injury. J Surg Res 1988; 44: 538-544.
12. Moat NE, Shore DF, Evans TW. Organ dysfunction and cardiopulmonary bypass: The role of complement and complement regulatory proteins. Eur J Cardiothorac Surg 1993; 7: 563-573.
13. Kotani N, Hashimoto H, Sessler DI, et al. Neutrophil number and interleukin-8 and elastase concentration in bronchalveolar lavage fluid correlate with decreased arterial oxygenation after cardiopulmonary bypass. Anesth Analg 2000; 90: 1046-1051.
14. Klausner JM, Paterson IS, Kobzik L, Valeri CR, Shepro D, Hechtman HB. Oxygen free radicals mediate ischemia induced lung injury. Surgery 1989; 105: 192-199.
15. Wasowicz M, Drwiła R, Jeleń H, Przybyłowski P, Andres J, Dziatkowiak A. Lipid peroxidation (LO) during cardiac operations with use of cardiopulmonary bypass (CPB) measured by head-space gas chromatography. Eur J Anaesthesiol 2001; 18 Suppl 22: 19.
16. Wasowicz M, Kashima K, Yokoyama S, Nakayama I. Pulmonary surfactant migrates into the alveolar capillaries of newborn rat: An immunoelectron microscopic study. Acta Anat 1996; 156: 11-21.
17. Doyle I, Bersten AD, Nicholas TE. Surfactant proteins-A and -B are elevated in plasma of patients with acute respiratory failure. Am J Respir Crit Care Med 1997; 156: 1217-1229.
18. El Habbal MH, Smith LJ, Elliot MJ, Strobel S. Cardiopulmonary bypass tubes and prime solutions stimulate neutrophil adhesion molecules. Cardiovasc Res 1997; 33: 209-215.
19. Warner AE. Pulmonary intravascular macrophages. Role in acute lung injury. Clin Chest Med 1996; 17: 125-135.
20. Brieland JK, Flory CM, Jones ML. Regulation of monocyte chemoattractant protein-1 gene expression and secretion in rat pulmonary alveolar macrophages by liposaccharide, tumor necrosis factor-α, and interleukin-1β. Am J Respir Cell Mol Biol 1995; 12: 104-109.
21. Ratliff NB, Young WG, Hackel DB, Mikat E, Wilson JW. Pulmonary injury secondary to extracorporeal circulation. J Thorac Cardiovasc Surg 1973; 65: 425-432.
22. Anyanwu E, Dittrich H, Gieseking R, Enders H-J. Ultrastructural changes in the human lung following cardiopulmonary bypass. Basic Res Cardiol 1982; 77: 309-322.
23. Kotani N, Hashimoto H, Sessler DI, et al. Cardiopulmonary bypass produces greater pulmonary than systemic proinflammatory cytokines. Anesth Analg 2000; 90: 1039-1045.
24. Bachofen M, Weibel ER. Structural alteration of lung parenchyma in the adult respiratory distress syndrome. Clin Chest Med 1982; 3: 35-56.