Today I am looking at the bloody supply to our lungs
The lungs have a unique dual blood supply. One
circulation makes gas exchange possible, while the other nourishes the lung
tissue itself. Together, they keep oxygen moving into the bloodstream and
carbon dioxide moving out.
Deoxygenated blood leaves the right ventricle
through the pulmonary trunk, which divides into the right and left pulmonary
arteries. These arteries follow the branching airways and form capillary
networks around the alveoli. Across the thin alveolar–capillary membrane,
carbon dioxide diffuses from the blood into the air spaces, while oxygen
diffuses into the blood. Oxygenated blood then returns to the left atrium
through the pulmonary veins.
The bronchial arteries arise from the systemic
circulation, usually from the thoracic aorta or nearby branches. They deliver
oxygenated blood to the bronchi, connective tissue, visceral pleura and
supporting structures of the lungs. Some bronchial venous blood drains through
the bronchial veins, while some enters the pulmonary veins, creating a small
normal contribution to the physiological shunt.
The pulmonary circulation is a low-pressure,
high-flow system designed for efficient gas exchange. The bronchial circulation
operates at systemic pressure and supports the metabolic needs of the lung
tissue. Connections between the two systems can provide some backup blood flow,
but they can also become clinically important in conditions involving
inflammation, obstruction or bleeding.
Let’s look at what happens if there is a blockage a blockage
in a pulmonary artery, most often caused by a blood clot that has travelled
from a deep vein in the leg or pelvis, is called a pulmonary embolism. It
reduces or stops blood flow to part of the lung, so that area may still receive
air but cannot exchange gases effectively with the blood. This can lower oxygen
levels, increase pressure on the right side of the heart and, if the blockage
is large or there are multiple clots, cause haemodynamic collapse or death.
Possible symptoms include sudden shortness of breath, chest pain that may
worsen with breathing, a rapid heart rate, coughing up blood, dizziness or
fainting. A suspected pulmonary embolism requires urgent medical assessment.






