Table 2. Histological changes in pulmonary venous stenosis
Pre-capillaryTypical vascular remodelling of pulmonary hypertension with hypertrophy of the media of the pulmonary arteries, resulting in reduced arborisation of the pulmonary arterial tree
ParenchymalAccumulation of intraparenchymal siderophages
Septal thickening
Mild interstitial fibrosis
Pleural plaques owing to organisation of fibrinous exudates
LymphaticEnlarged hilar lymph nodes
Lymphangiectasis
Pleural effusion
Post-capillary“Arterialisation” of the pulmonary veins with intimal fibrosis and medial thickening
Venous varices mimicking arteriovenous malformations
BronchovascularRemodelling of the bronchial arteries and bronchial veins with bronchovascular ectasis
EndobronchialFriable endobronchial mucosa predisposed for haemoptysis and recurrent airway infection