M. Ashour, FRCS The Journal of Thoracic and Cardiovascular Surgery

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Hemodynamic alterations in bronchiectasis: A base for a new subclassification of the disease M. Ashour, FRCS The Journal of Thoracic and Cardiovascular Surgery Volume 112, Issue 2, Pages 328-334 (August 1996) DOI: 10.1016/S0022-5223(96)70258-1 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A, Bronchogram showing cylindrical bronchiectasis of left lower lobe (small arrows) and right medial basal segment. B, Pulmonary angiogram of same patient showing intact perfusion of left lower lobe (perfused bronchiectasis) and of right medial basal segment (both marked by small arrows). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A, Bronchogram showing cylindrical bronchiectasis of left lower lobe (small arrows) and right medial basal segment. B, Pulmonary angiogram of same patient showing intact perfusion of left lower lobe (perfused bronchiectasis) and of right medial basal segment (both marked by small arrows). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 A, Bronchogram showing cystic bronchiectasis of left lung (large arrows) and cylindrical bronchiectasis of right medial basal segment (small arrows). B, Pulmonary angiogram of same patient showing absent pulmonary artery flow to left lung (nonperfused bronchiectasis) and intact perfusion of right medial basal segment (perfused bronchiectasis), marked by large and small arrows, respectively. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 A, Bronchogram showing cystic bronchiectasis of left lung (large arrows) and cylindrical bronchiectasis of right medial basal segment (small arrows). B, Pulmonary angiogram of same patient showing absent pulmonary artery flow to left lung (nonperfused bronchiectasis) and intact perfusion of right medial basal segment (perfused bronchiectasis), marked by large and small arrows, respectively. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 A, Bronchogram showing cystic and cylindrical bronchiectasis of both left lower lobe (large arrows) and right upper lobe (small arrows). B, Example of mixed bronchiectasis: pulmonary angiogram of same patient showing no flow to left lower lobe (nonperfused bronchiectasis) and intact flow to right upper lobe (perfused bronchiectasis), marked by large and small arrows, respectively. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 A, Bronchogram showing cystic and cylindrical bronchiectasis of both left lower lobe (large arrows) and right upper lobe (small arrows). B, Example of mixed bronchiectasis: pulmonary angiogram of same patient showing no flow to left lower lobe (nonperfused bronchiectasis) and intact flow to right upper lobe (perfused bronchiectasis), marked by large and small arrows, respectively. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 A, Pulmonary angiogram showing absent pulmonary artery flow to left lower lobe (small arrows) that is involved with cystic bronchiectasis (large arrow). B, Thoracic aortography of same patient showing retrograde filling of pulmonary artery of left lower lobe (small arrows) through systemic circulation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 A, Pulmonary angiogram showing absent pulmonary artery flow to left lower lobe (small arrows) that is involved with cystic bronchiectasis (large arrow). B, Thoracic aortography of same patient showing retrograde filling of pulmonary artery of left lower lobe (small arrows) through systemic circulation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 A, CT of chest showing cystic bronchiectasis of right lower lobe. B, Pulmonary angiogram of same patient showing nonperfused bronchiectasis of right lower lobe (small arrows). C, Thoracic aortography of same patient showing retrograde filling of right lower lobe pulmonary artery (large arrow), with more dilated bronchial and intercostal arteries of right hemithorax (small arrows) than of left hemithorax. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 A, CT of chest showing cystic bronchiectasis of right lower lobe. B, Pulmonary angiogram of same patient showing nonperfused bronchiectasis of right lower lobe (small arrows). C, Thoracic aortography of same patient showing retrograde filling of right lower lobe pulmonary artery (large arrow), with more dilated bronchial and intercostal arteries of right hemithorax (small arrows) than of left hemithorax. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 A, CT of chest showing cystic bronchiectasis of right lower lobe. B, Pulmonary angiogram of same patient showing nonperfused bronchiectasis of right lower lobe (small arrows). C, Thoracic aortography of same patient showing retrograde filling of right lower lobe pulmonary artery (large arrow), with more dilated bronchial and intercostal arteries of right hemithorax (small arrows) than of left hemithorax. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 6 A, Bronchogram showing cystic bronchiectasis of left lung. B, Pulmonary angiogram of same patient showing false impression of empty left pulmonary artery (small arrows). Injected contrast cannot sufficiently penetrate left pulmonary artery because of hemodynamic block caused by retrograde filling of artery through systemic circulation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 6 A, Bronchogram showing cystic bronchiectasis of left lung. B, Pulmonary angiogram of same patient showing false impression of empty left pulmonary artery (small arrows). Injected contrast cannot sufficiently penetrate left pulmonary artery because of hemodynamic block caused by retrograde filling of artery through systemic circulation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 328-334DOI: (10.1016/S0022-5223(96)70258-1) Copyright © 1996 Mosby, Inc. Terms and Conditions