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Resolution of Plastic Bronchitis with Atrial Pacing in a Patient with Fontan Physiology

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Abstract

We describe a 5-year-old boy with Fontan physiology and a ventricular pacemaker who developed severe plastic bronchitis. Evaluation by cardiac catheterization revealed profoundly altered hemodynamics, which improved with atrial pacing. Following implantation of an atrial pacemaker, which restored atrioventricular (A-V) synchrony, the patient’s hemodynamics greatly improved and his plastic bronchitis resolved.

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References

  1. M Bettmann (1902) ArticleTitleReport of a case of fibrinous bronchitis, with a review of all cases of the literature. Am J Med Sci 123 304–329

    Google Scholar 

  2. MI Cohen LA Rhodes G Wernovsky WJ Gaynor TL Spray J Rychik (2001) ArticleTitleAtrial pacing: An alternative treatment for protein-losing enteropathy after the Fontan operation. J Thorac Cardiovasc Surg 121 582–583 Occurrence Handle10.1067/mtc.2001.110681 Occurrence Handle1:STN:280:DC%2BD3M3hs1aktg%3D%3D Occurrence Handle11241095

    Article  CAS  PubMed  Google Scholar 

  3. JM Costello D Steinhorn S McColley ME Gerber SP Kumar (2002) ArticleTitleTreatment of plastic bronchitis in a Fontan patient with tissue plasminogen activator: A case report and review of the literature. Pediatrics 109 e67 Occurrence Handle11927740

    PubMed  Google Scholar 

  4. M Hug J Ersch M Moenkhoff R Burger S Fanconi U Bauersfeld (2001) ArticleTitleChylous bronchial casts after Fontan operation. Circulation 103 1031

    Google Scholar 

  5. J Languepin P Scheinmann B Mahut M Bourgeois F Jaubert F Brunelle D Sidi J Blic (1999) ArticleTitleBronchial casts in children with cardiopathies: The role of pulmonary lymphatic abnormalities. Pediatr Pulmonol 28 329–336 Occurrence Handle10.1002/(SICI)1099-0496(199911)28:5<329::AID-PPUL4>3.0.CO;2-K Occurrence Handle1:STN:280:DC%2BD3c%2Fgs1Wrug%3D%3D Occurrence Handle10536063

    Article  CAS  PubMed  Google Scholar 

  6. F McCarey (2002) ArticleTitleAround PediHeart: Plastic bronchitis. Pediatr Cardiol 23 151 Occurrence Handle11889525

    PubMed  Google Scholar 

  7. F Meijboom J Roos-Hesselink H Siervert (2002) ArticleTitleThe role of the atria in congenital heart disease. Cardiol Clin 20 351–366 Occurrence Handle12371005

    PubMed  Google Scholar 

  8. MW Quasney K Orman J Thompson JC Ring M Salim RA Schoumacher D Watson W Novick SR Deitcher R Joyner (2000) ArticleTitlePlastic bronchitis occurring late after the Fontan procedure: treatment with aerosolized urokinase. Crit Care Med 28 2107–2111

    Google Scholar 

  9. M Quasney K Orman J Thompson J Ring M Salim R Schoumacher D Watson W Novick . Deitcher R Joyner (2001) ArticleTitleLetters. Crit Care Med 29 465 Occurrence Handle1:STN:280:DC%2BD3M7pslersA%3D%3D

    CAS  Google Scholar 

  10. M Seear H Hui F Magee D Bonn E Cutz (1997) ArticleTitleBronchial casts in children: A proposed classification based on nine cases and review of the literature. Am J Respir Crit Care Med 155 364–370

    Google Scholar 

  11. M Seear (2001) ArticleTitleAcellular bronchial casts in children after cardiac surgery. Crit Care Med 29 465–466 Occurrence Handle1:STN:280:DC%2BD3M7pslersA%3D%3D

    CAS  Google Scholar 

  12. B Stiller F Riedel K Paul FK van Landeghem (2002) ArticleTitlePlastic bronchitis in children with Fontan palliation: analogue to protein losing enteropathy? Pediatr Cardiol 23 90–94 Occurrence Handle1:STN:280:DC%2BD387ptFSnug%3D%3D Occurrence Handle11924535

    CAS  PubMed  Google Scholar 

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Barber, B., Burch, G., Tripple, D. et al. Resolution of Plastic Bronchitis with Atrial Pacing in a Patient with Fontan Physiology . Pediatr Cardiol 25, 73–76 (2004). https://doi.org/10.1007/s00246-003-0529-9

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