Ccw. Hsia et al., STRUCTURAL-CHANGES UNDERLYING COMPENSATORY INCREASE OF DIFFUSING-CAPACITY AFTER LEFT PNEUMONECTOMY IN ADULT DOGS, The Journal of clinical investigation, 92(2), 1993, pp. 758-764
To determine if the functional compensation in diffusing capacity of t
he remaining lung following pneumonectomy is due to structural growth,
we performed morphometric analysis of the right lung in three adult f
oxhounds approximately 2 yr after left pneumonectomy (removal of 42% o
f lung) and compared the results to those in normal adult dogs previou
sly studied by the same techniques. Diffusing capacity was calculated
by an established morphometric model and compared to physiologic estim
ates at peak exercise in the same dogs after pneumonectomy. The major
structural changes after left pneumonectomy are hyperinflation of the
right lung, alveolar enlargement, and thinning of the alveolar-capilla
ry tissue barrier. These changes confer significant functional compens
ation for gas exchange by reducing the overall resistance to O2 diffus
ion. The magnitude of compensation in diffusing capacity estimated eit
her morphometrically or physiologically is similar. In spite of morpho
metric and physiologic evidence of functional compensation, there is n
o evidence of significant growth of structural components. After pneum
onectomy, morphometric estimates of diffusing capacity are on average
23% higher than physiologic estimates in the same dogs at peak exercis
e. We conclude that the previously reported large differences between
morphometric and physiologic estimates of diffusing capacity reflects
the presence of large physiologic reserves available for recruitment.