Pulmonary Veins in Left Ventricular Failure and Mitral Stenosis

Abstract
A technique is described for measuring selected upper and lower lobe pulmonary veins on tomograms of the right lung. This method was applied to 50 normals, 36 cases of mitral stenosis and 43 cases of left ventricular failure; 80% of the mitral cases demonstrated a comparative increase of upper lobe vein size; 39% of the patients with left ventricular failure showed a similar change. The relation of these changes to clinical features and possible hemo-dynamic mechanisms are discussed. It is suggested that the changes in the pulmonary veins in mitral heart disease and in some cases of left ventricular failure are similar and brought about in the same way.