Plastic bronchitis: an unusual bronchoscopic challenge associated with congenital heart disease repair. Int J Pediatr Otorhinolaryngol 2003 May;67(5):543-8
Date
04/17/2003Pubmed ID
12697358DOI
10.1016/s0165-5876(03)00004-1Scopus ID
2-s2.0-0037402464 (requires institutional sign-in at Scopus site) 23 CitationsAbstract
Plastic bronchitis is a rare disorder characterized by the formation of branching mucoid bronchial casts. Several pathophysiologic conditions are associated with development of these intrabronchial casts, including congenital heart defects. The management of plastic bronchitis presents an unusual and interesting bronchoscopic challenge. We describe a patient who underwent a Fontan procedure for correction of a congenital heart defect and subsequently developed respiratory distress secondary to plastic bronchitis on two occasions. In both cases, endoscopic intervention was required to remove these casts. A review of the literature, including the proposed etiologies, diagnosis, and current medical and surgical management, is also undertaken.
Author List
Ishman S, Book DT, Conley SF, Kerschner JEAuthor
Joseph E. Kerschner MD Provost, Executive Vice President, Dean, Professor in the School of Medicine Administration department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
BronchitisBronchoscopy
Child, Preschool
Fontan Procedure
Heart Defects, Congenital
Humans
Laryngoscopy
Male
Postoperative Complications
Recurrence
Respiratory Insufficiency
