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Plastic bronchitis: symptomatic improvement after pulmonary arterial stenting in four patients with Fontan circulation

Published online by Cambridge University Press:  18 December 2013

Daniel Tanase ,
Peter Ewert  and
Andreas Eicken
Daniel Tanase*
Affiliation:
Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany
Peter Ewert
Affiliation:
Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany
Andreas Eicken
Affiliation:
Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany
*
Correspondence to: D. Tanase, Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center, Deutsches Herzzentrum München, Lazarettstr 36, München 80636, Germany. Tel: +49-89-1218 2844; Fax: +49-89-1218 3333; E-mail: tanase@dhm.mhn.de
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Abstract

Plastic bronchitis is a severe complication after a Fontan procedure, with an estimated incidence around 1–2% and poor prognosis. We present the cases of four patients with plastic bronchitis after a total cavopulmonary connection with a stenosis of the left pulmonary artery that was stented successfully. In three of the four patients, symptoms improved after catheter intervention in combination with pulmonary vasodilator and inhalative treatment.

Keywords

Plastic bronchitisFontanpulmonary arterial stenting
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 1 , January 2015 , pp. 151 - 153
Copyright
© Cambridge University Press 2013 

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References

1. Fredenburg, TB, Johnson, TR, Cohen, MD. The Fontan procedure: anatomy, complications, and manifestations of failure. Radiographics 2011; 31: 453–463.CrossRefGoogle ScholarPubMed
2. Madsen, P, Shah, SA, Rubin, BK. Plastic bronchitis: new insights and a classification scheme. Paediatr Respir Rev 2005; 6: 292–300.CrossRefGoogle Scholar
3. Seear, M, Hui, H, Magee, F, Bohn, D, Cutz, E. Bronchial casts in children: a proposed classification based on nine cases and a review of the literature. Am J Respir Crit Care Med 1997; 155: 364–370.CrossRefGoogle Scholar
4. LaRue, M, Gossett, JG, Stewart, RD, Backer, CL, Mavroudis, C, Jacobs, ML. Plastic bronchitis in patients with Fontan physiology: review of the literature and preliminary experience with fontan conversion and cardiac transplantation. World J Pediatr Congenit Heart Surg 2012; 3: 364–372.CrossRefGoogle ScholarPubMed
5. Parikh, K, Witte, MH, Samson, R, et al. Successful treatment of plastic bronchitis with low fat diet and subsequent thoracic duct ligation in child with fontan physiology. Lymphology 2012; 45: 47–52.Google ScholarPubMed
6. Brogan, TV, Finn, LS, Pyskaty, DJ Jr, et al. Plastic bronchitis in children: a case series and review of the medical literature. Pediatr Pulmonol 2002; 34: 482–487.CrossRefGoogle ScholarPubMed
7. Manna, SS, Shaw, J, Tibby, SM, Durward, A. Treatment of plastic bronchitis in acute chest syndrome of sickle cell disease with intratracheal rhDNase. Arch Dis Child 2003; 88: 626–627.CrossRefGoogle ScholarPubMed
8. Heath, L, Ling, S, Racz, J, et al. Prospective, longitudinal study of plastic bronchitis cast pathology and responsiveness to tissue plasminogen activator. Pediatr Cardiol 2011; 32: 1182–1189.CrossRefGoogle ScholarPubMed