Theoretical modeling demonstrates that uniform vessel distensibility preserves flow partitioning during changes in cardiac output, suggesting an evolutionary adaptation in the pulmonary vasculature.
Does not yet inform clinical hemodynamics; leaves open whether uniform distensibility preserves flow partitioning in human pulmonary networks.
We examine the influence of vessel distensibility on the fraction of the total network flow passing through each vessel of a model vascular network. An exact computational methodology is developed yielding an analytic proof. For a class of structurally heterogeneous asymmetric vascular networks, if all the individual vessels share a common distensibility relation when the total network flow is changed, this methodology proves that each vessel will continue to receive the same fraction of the total network flow. This constant flow partitioning occurs despite a redistribution of pressures, which may result in a decrease in the diameter of one and an increase in the diameter of the other of two vessels having a common diameter at a common pressure. This theoretical observation, taken along with published experimental observations on pulmonary vessel distensibilities, suggests that vessel diameter-independent distensibility in the pulmonary vasculature may be an evolutionary adaptation for preserving the spatial distribution of pulmonary blood flow in the face of large variations in cardiac output.
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Krenz et al. (2003) studied this question.
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