THOMAS J. SULLIVAN, M.D.
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To the editor: I especially enjoyed the article on redistribution of pulmonary blood flow early in the course of alpha1-antitrypsin deficiency (Ann Intern Med 73: 397-401, 1970) by Levine and colleagues. It emphasizes the fact that redistribution of pulmonary blood flow is an important early radiographic sign, not only in congestive heart failure, but also in many forms of chronic bronchopulmonary disease, a fact, I think, not appreciated by many clinicians.
I would like to offer another possible expanation for the cause of the early redistribution of flow seen in alpha1-antitrypsin deficiency. The authors state that possibly pulmonary parenchymal elastic
SULLIVAN TJ. Pulmonary Blood Flow in Antitrypsin Deficiency. Ann Intern Med. ;74:145–146. doi: 10.7326/0003-4819-74-1-145
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Published: Ann Intern Med. 1971;74(1):145-146.
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