Article

[Plastic bronchitis in a ten year-old boy with Fontan circulation].

BørneUngeKlinikken, Dansk BørneLungeCenter, Juliane Marie Centret, Rigshospitalet, Blegdamsvej 9, 2100 København Ø, Denmark.
Ugeskrift for laeger 06/2012; 174(24):1674-5. pp.1674-5
Source: PubMed

ABSTRACT Plastic bronchitis is a rare complication in children with inflammatory lung disease and postoperatively after Fontan operation for congenital heart disease. Plastic bronchitis is characterised by expectoration of large bronchial casts, which can cause fatal airway obstruction. We describe a case of a ten year-old boy with transposition vasorum and hypoplastic right ventricle who underwent a Fontan operation at the age of three. Seven years postoperatively he developed plastic bronchitis which was treated with mucolytics, inhaled corticosteroids, β2-agonist, hypertonic NaCl, and chest physiotherapy, resulting in partial recovery.

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Keywords

cause fatal airway obstruction
 
congenital heart disease
 
Fontan operation
 
hypoplastic
 
inflammatory lung disease
 
large bronchial casts
 
partial recovery
 
plastic bronchitis
 
postoperatively
 
rare complication
 
ten year-old boy
 
years postoperatively
 
β2-agonist