Unilateral Hyperlucent Lung
Authors: John G. Weg, Richard A. Krumholz, Lionel E. Hackleroad
Journal: Annals of Internal Medicine (1965)

Article1 April 1965Unilateral Hyperlucent LungA Physiologic SyndromeJOHN G. WEG, RICHARD A. KRUMHOLZ, LIONEL E. HACKLEROADJOHN G. WEGSearch for more papers by this author, RICHARD A. KRUMHOLZSearch for more papers by this author, LIONEL E. HACKLEROADSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-4-675 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA unilateral hyperlucent lung in association with agenesis of a pulmonary artery was first described by Madoff, Gaensler, and Strieder (1) in 1952. In 1953 Swyer and James (2) reported the first case of a unilateral hyperlucent lung with a small pulmonary artery and poor bronchographic filling of the peripheral bronchi. MacLeod (3) then reported nine other patients with a hypoplastic artery, three of whom had localized distal bronchiectasis. Further descriptions of this syndrome have been variable, and it has previously been considered to be uncommon (1-22).The recognition of five new cases of unilateral hyperlucent lung syndrome in a...References1. MADOFFGAENSLERSTRIEDER IMEAJW: Congenital absence of the right pulmonary artery, diagnosis by angiocardiography with cardiorespiratory studies. New Eng. J. Med. 247: 149, 1952. CrossrefMedlineGoogle Scholar2. SWYERJAMES PRGC: A case of unilateral pulmonary emphysema. Thorax 8: 133, 1953. CrossrefMedlineGoogle Scholar3. MACLEOD WM: Abnormal transradiancy of one lung. Thorax 9: 147, 1954. CrossrefMedlineGoogle Scholar4. WYMAN SM: Congenital absence of a pulmonary artery; its demonstration by roentgenography. Radiology 62: 321, 1954. CrossrefMedlineGoogle Scholar5. FLYNNSIEBENSWILLIAMS JEAASF: Congenital absence of a main branch of the pulmonary artery. Amer. J. Med. Sci. 221: 673, 1954. Google Scholar6. MCKIMWIGLESWORTH JSFW: Absence of the left pulmonary artery; report of 6 cases with autopsy findings in 3 cases. Amer. Heart J. 47: 845, 1954. CrossrefMedlineGoogle Scholar7. STEINBERGDOTTERLUKAS ICTDS: Congenital absence of a main branch of the pulmonary artery. JAMA 152: 1216, 1953. CrossrefMedlineGoogle Scholar8. MAIER HC: Absence or hypoplasia of a pulmonary artery with anomalous systemic arteries to the lung. J. Thorac. Surg. 28: 145, 1954. CrossrefMedlineGoogle Scholar9. ALEXANDERFIGIELCLASS SCSJRN: Congenital absence of the left pulmonary artery. Amer. Heart J. 50: 465, 1955. CrossrefMedlineGoogle Scholar10. SMARTPATTINSON JJN: Congenital absence of the left pulmonary artery. Brit. Med. J. 1: 491, 1956. CrossrefMedlineGoogle Scholar11. DORNHORSTHEAFSEMPLE ACPJSJ: Unilateral "emphysema." Lancet 273, (6984) 2: 873, 1957. CrossrefGoogle Scholar12. SCHNEIDERMAN LJ: Isolated congenital absence of the right pulmonary artery: a caution as to its diagnosis and a proposal for its embryogenesis—report of a case with review. Amer. Heart J. 55: 772, 1958. CrossrefMedlineGoogle Scholar13. VAUGHAN BF: Syndromes associated with hypoplasia or aplasia of one pulmonary artery. J. Fac. Radiol. (Lond.) 9: 161, 1958. CrossrefMedlineGoogle Scholar14. ELDERBROFMANKOHNCHARMS JCBIPMBL: Unilateral pulmonary artery absence or hypoplasia: radiographic and cardiopulmonary studies in five patients. Circulation 17: 557, 1958. CrossrefMedlineGoogle Scholar15. KATZWAGNER IS: Unilateral pulmonary "emphysema." Radiology 73: 362, 1959. CrossrefMedlineGoogle Scholar16. MARGOLINROSENBERGFELSONBAUM HHLSBG: Idiopathic unilateral hyperlucent lung: a roentgenologic syndrome. Amer. J. Roentgen. 82: 63, 1959. Google Scholar17. BELCHERCAPELPATTINSONSMART JRLJNJ: Hypoplasia of the pulmonary arteries. Brit. J. Dis. Chest 53: 253, 1959. CrossrefMedlineGoogle Scholar18. DARKECHRISPINSNOWDEN CSARBS: Unilateral lung transradiancy: a physiological study. Thorax 15: 74, 1960. CrossrefMedlineGoogle Scholar19. FOUCHESPEARSOGILVIE RFJRC: Unilateral emphysema. Brit. Med. J. 1: 1312, 1960. CrossrefMedlineGoogle Scholar20. DUNNILLROSS MSHB: Absent right pulmonary artery as an isolated congenital defect. Lancet 2: 185, 1961. CrossrefMedlineGoogle Scholar21. BOGEDAINCARPATHIOSKALEMKERISMCMAHON WJKRJ: Congenital absence of the left pulmonary artery associated with congenital bronchiectasis and hemophilia. JAMA 182: 247, 1962. CrossrefGoogle Scholar22. RAKOWERMORAN JE: Unilateral hyperlucent lung. Amer. J. Med. 33: 864, 1962. CrossrefMedlineGoogle Scholar23. KORYCALLAHANBORENSYNER RCRHGJC: The Veterans Administration-Army Co-operative Study of Pulmonary Function: I clinical spirometry in normal men. Amer. J. Med. 30: 243, 1961. CrossrefMedlineGoogle Scholar24. LEUALLENFOWLER ECWS: Maximal midexpiratory flow. Amer. Rev. Tuberc. 72: 783, 1955. Google Scholar25. OGILVIEFORSTERBLAKEMOREMORTON CMREWSJW: A standardized breath holding technique for the clinical measurement of the diffusing capacity of the lung for carbon monoxide. J. Clin. Invest. 36: 1, 1957. CrossrefMedlineGoogle Scholar26. KRUMHOLZROSS RAJC: Effect of atropine and reserpine on pulmonary diffusing capacity during exercise in man. J. Appl. Physiol. 19: 465, 1964. CrossrefMedlineGoogle Scholar27. ROUGHTONFORSTER FJRE: Relative importance of diffusion and chemical reaction rates in determining the rate of exchange of gases in the human lung, with special reference to true diffusing capacity of pulmonary membrane and volume of blood in the lung capillaries. J. Appl. Physiol. 11: 290, 1957. CrossrefMedlineGoogle Scholar28. KRUMHOLZROSS RAJC: Unpublished data. Google Scholar29. SMITHHAMILTON JRJH: DLCO measurements with gas chromatography. J. Appl. Physiol. 17: 856, 1962. CrossrefMedlineGoogle Scholar30. MASTER AM: The two-step exercise electrocardiogram: a test for coronary insufficiency. Ann. Intern. Med. 32: 842, 1950. LinkGoogle Scholar31. WILSONEBERTBORDENPEARSONJOHNSONFALKDEMPSEY RHRVCWRTRSAME: The determination of blood flow through nonventilated portions of the normal and diseased lung. Amer. Rev. Tuberc. 68: 177, 1953. Google Scholar32. KENT DC: Physiologic aspects of idiopathic hyperlucent lung, with a review of the literature. Amer. Rev. Resp. Dis. 90: 202, 1964. MedlineGoogle Scholar33. PROUSEFUCHSKAUFMANGAENSLER CMJESAEA: Chronic obstructive pseudoemphysema. A rare cause of unilateral hyperlucent lung. New Eng. J. Med. 271: 127, 1964. CrossrefMedlineGoogle Scholar34. EMANUELPATTINSON RWJN: Absence of the left pulmonary artery in Fallot's tetralogy. Brit. Heart J. 18: 289, 1956. CrossrefMedlineGoogle Scholar35. LAURWEDLER AHW: Die einseitig helle lunge in röntgenstrahlen. Fortschr. Röntgenstr. 82: 305, 1955. CrossrefMedlineGoogle Scholar36. SEVERINGHAUSSTUPFEL JWM: Alveolar dead space as an index of distribution of blood flow in pulmonary capillaries. J. Appl. Physiol. 10: 335, 1957. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JOHN G. WEG; RICHARD A. KRUMHOLZ; LIONEL E. HACKLEROADAffiliations: From the Pulmonary and Infectious Disease Service, Department of Medicine, Wilford Hall USAF Hospital, Aerospace Medical Division (AFSC), Lackland Air Force Base, Tex.Requests for reprints should be addressed to Capt. John G. Weg, USAF (MC), Chief, Pulmonary Section, Wilford Hall USAF Hospital, Lackland Air Force Base, Tex. 78236. 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