MINIREVIEW
Changing Concepts of the Pulmonary Plexiform Lesion
A. P. FISHMAN
University of Pennsylvania, School of Medicine, Philadelphia, USA
Received February 29, 2000
Accepted April 3, 2000
Summary
The plexiform lesion is the hallmark of plexogenic pulmonary
arteriopathy, which accompanies severe primary pulmonary hypertension. Over the
years, a wide variety of hypotheses have been offered to explain the
pathogenesis of these glomoid structures. Most recently, the new techniques and
concepts of molecular biology have been applied to the study of the plexiform
lesion and have indicated that they are composed of phenotypically abnormal
endothelial cells with different pathogenic origins in primary and secondary
pulmonary hypertension. The new approaches and concepts have suggested new
vistas for exploration.
Key words
Plexiform lesion · Plexogenic pulmonary
arteriopathy · Primary pulmonary hypertension ·
Pulmonary giogenesis
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Philadelphia, PA 19104-6021, USA.
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