Total inversion of the left lung circulation: morphologic and functional analyses.
BACKGROUND
An experimental model for total inversion of left lung circulation was developed. With this model, the authors demonstrate that it is possible to reverse the pulmonary circulation and preserve the normal function and morphology of the lung.


METHODS
Eight dogs had their left pulmonary circulation reversed. The blood from the pulmonary artery trunk was diverted to the pulmonary veins, and returned from the pulmonary artery into the left atrium. In order to monitor the flow through the reversed system, color Doppler echocardiography was performed on the ninth postoperative day. The dogs were reoperated after 15 days for re-evaluation. Blood gas analyses from the aorta and the pulmonary artery were used to study the functional status of the lung in both operations. The morphology was studied by comparing biopsies of the lung performed before and after reversal of flow.


RESULTS
Blood gas analysis showed no significant difference between the samples of from the aorta and pulmonary artery. Color Doppler echocardiography was a reliable method for the study of the inverted circulation. The histological study showed no differences in the morphology of the lung after the reversed circulation.


CONCLUSIONS
Left pulmonary circulation was fully reversed. Pulmonary function and morphology remained normal.
Heart Institute, Hospital das Clínicas, Medical School, University of São Paulo, Brazil.
L A
LA
Mulinari
A L
AL
Tyszka
R G
RG
de Carvalho
D R
DR
da Rocha Loures
L F
LF
Moreira
N A
NA
Stolf
D000818:Animals; D001784:Blood Gas Analysis; D004285:Dogs; D018618:Echocardiography, Doppler, Color; D006439:Hemodynamics; D008168:Lung / Q000098:blood supply* / Q000000981:diagnostic imaging; D011652:Pulmonary Circulation / Q000502:physiology*