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The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Microvascular disease in chronic thromboembolic pulmonary hypertension: a role for pulmonary veins and systemic vasculature

Dorfmüller, Peter, Günther, Sven, Ghigna, Maria-Rosa, Thomas de Montpréville, Vincent, Boulate, David, Paul, Jean-François, Jaïs, Xavier, Decante, Benoit, Simonneau, Gérald, Dartevelle, Philippe, Humbert, Marc, Fadel, Elie, Mercier, Olaf·2014·European Respiratory Journal

Abstract

Limited numbers of operated patients with chronic thromboembolic pulmonary hypertension (CTEPH) are refractory to pulmonary endarterectomy (PEA) and experience persistent pulmonary hypertension (PH). We retrospectively assessed lung histology available from nine patients with persistent PH (ineffective PEA (inPEA) group) and from eight patients transplanted for distal CTEPH inaccessible by PEA (noPEA group). Microscopically observed peculiarities were compared with the histology of a recently developed CTEPH model in piglets. Pre-interventional clinical/haemodynamic data and medical history of patients from the inPEA and noPEA groups were collected and analysed. Conspicuous remodelling of small pulmonary arteries/arterioles, septal veins and pre-septal venules, including focal capillary haemangiomatosis, as well as pronounced hypertrophy and enlargement of bronchial systemic vessels, were the predominant pattern in histology from both groups. Most findings were reproduced in our porcine CTEPH model. Ink injection experiments unmasked abundant venular involvement in so-called small vessel or microvascular disease, as well as post-capillary bronchopulmonary shunting in human and experimental CTEPH. Microvascular disease is partly due to post-capillary remodelling in human and experimental CTEPH and appears to be related to bronchial-to-pulmonary venous shunting. Further studies are needed to clinically assess the functional importance of this finding.

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Metadata

Authors
Dorfmüller, P., Günther, S., Ghigna, M.-R., Thomas de Montpréville, V., Boulate, D., Paul, J.-F., Jaïs, X., Decante, B., Simonneau, G., Dartevelle, P., Humbert, M., Fadel, E., & Mercier, O.
Venue
European Respiratory Journal
Published
2014-08-19
Volume
44
Issue
5
Pages
1275-1288
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
OpenAlex
W2083557718
Cited by
287
References
25
FWCI
10.66
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Microvascular disease in chronic thromboembolic pulmonary hypertension: a role for pulmonary veins and systemic vasculature. https://app.cochat.ai/papers/10.1183/09031936.00169113
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Dorfmüller, P., Günther, S., Ghigna, M.-R., Thomas de Montpréville, V., Boulate, D., Paul, J.-F., Jaïs, X., Decante, B., Simonneau, G., Dartevelle, P., Humbert, M., Fadel, E., & Mercier, O. (2014). Microvascular disease in chronic thromboembolic pulmonary hypertension: a role for pulmonary veins and systemic vasculature. European Respiratory Journal. https://doi.org/10.1183/09031936.00169113

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.