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The Journal of Thoracic and Cardiovascular Surgery, Vol 101, 732-739, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DA Rickaby, JF Fehring, MR Johnston and CA Dawson
With the use of in vivo isolated lung perfusion for targeting antitumor
therapy in the treatment of lung cancer, tolerance of normal lung tissue to
the tumoricidal conditions becomes the limiting factor. This study was
performed to determine the short-term tolerance of the lung to
hyperthermia. Isolated dog lung lobes were perfused with autologous blood
or an artificial salt solution at constant flow. Measurements of lung
weight, extravascular water, vascular volume, serotonin uptake, urea
permeability surface area product, perfusion pressure, and lung compliance
were made with the temperature at about 37 degrees C. The temperature was
then set at between 37 degrees and 45 degrees C, and at the end of the
subsequent 2 hours the measurements were repeated. When the temperature was
less than about 44.4 degrees C, hyperthermia had no detectable influence on
the measured variables. Thus on the time frame consistent with in vivo
perfusion therapy the normal lung appears to tolerate a fairly severe
hyperthermia.
ARTICLES
Tolerance of the isolated perfused lung to hyperthermia
Department of Physiology, Medical College of Wisconsin, Milwaukee.
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