Document Detail


A case of plastic bronchitis presenting 9 years after Fontan.
MedLine Citation:
PMID:  17929079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 15-year-old boy with hypoplastic left heart syndrome experienced plastic bronchitis 9 years after completion of a nonfenestrated lateral tunnel Fontan. Despite cardiac catheterization with coil embolization of collateral vessels and initiation of a pulmonary toilet regimen, including aerosolized tissue plasminogen activator, he continued to expectorate large acellular-mucinous casts. Finally, after optimization of cardiac function with the addition of carvedilol, the expectorated casts decreased in number. This report reviews pathophysiology of plastic bronchitis cast formation and therapy in the context of this late presentation after Fontan.
Authors:
H J Zaccagni; L Kirchner; J Brownlee; K Bloom
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Publication Detail:
Type:  Journal Article     Date:  2007-10-11
Journal Detail:
Title:  Pediatric cardiology     Volume:  29     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-18     Completed Date:  2008-05-15     Revised Date:  2013-05-28    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  157-9     Citation Subset:  IM    
Affiliation:
Medical University of South Carolina, Children's Heart Program of South Carolina, 171 Ashley Ave., Charleston, SC 29425, USA. zaccagn@musc.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adolescent
Aerosols
Bronchitis / complications,  etiology*,  physiopathology*
Bronchoscopy
Carbazoles / therapeutic use*
Collateral Circulation
Embolization, Therapeutic
Fibrinolytic Agents / administration & dosage
Fontan Procedure*
Humans
Hypoplastic Left Heart Syndrome / surgery
Male
Propanolamines / therapeutic use*
Remission Induction
Time Factors
Tissue Plasminogen Activator / administration & dosage
Vasodilator Agents / therapeutic use*
Chemical
Reg. No./Substance:
0/Aerosols; 0/Carbazoles; 0/Fibrinolytic Agents; 0/Propanolamines; 0/Vasodilator Agents; 0K47UL67F2/carvedilol; EC 3.4.21.68/Tissue Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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