E. Lepeschkin, M.D.
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It is a common finding that in congestive heart failure pleural effusion is more extensive on the right than on the left side, if no local factors such as pleural adhesions are present to upset this relationship. Many explanations have been advanced to account for this behavior, but none of them are quite satisfactory. The explanation developed by the author is that because the heart is on the left side, the volume of the left lung is smaller than that of the right lung. This difference is even more pronounced in the presence of cardiac hypertrophy or dilatation, which usually
Lepeschkin E. The Role of Pulmonary Compliance in the Predominance of Right Pleural Effusion in Congestive Heart Failure.. Ann Intern Med. 1961;54:1036. doi: https://doi.org/10.7326/0003-4819-54-5-1036_1
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Published: Ann Intern Med. 1961;54(5):1036.
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