Treatment of Plastic Bronchitis in a Fontan Patient With Tissue Plasminogen Activator: A Case Report and Review of the Literature-Reference-Cited by-同舟云学术

Treatment of Plastic Bronchitis in a Fontan Patient With Tissue Plasminogen Activator: A Case Report and Review of the Literature

Published:2002-04-01 Issue:4 Volume:109 Page:e67-e67
ISSN:0031-4005
Container-title:Pediatrics
language:en
Short-container-title:

Author:

Costello John M.¹²,Steinhorn David²,McColley Susanna²,Gerber Mark E.³,Kumar Sulekha P.¹

Affiliation:

1. Divisions of Cardiology, Children’s Memorial Hospital, Northwestern University Medical School, Chicago, Illinois

2. Division of Pulmonary and Critical Care Medicine, Children’s Memorial Hospital, Northwestern University Medical School, Chicago, Illinois

3. Division of Otolaryngology, Children’s Memorial Hospital, Northwestern University Medical School, Chicago, Illinois

Abstract

Plastic bronchitis is a condition in which large, bronchial casts with rubber-like consistency develop in the tracheobronchial tree and cause airway obstruction. We describe a 4-year-old girl who had Fontan physiology and who developed plastic bronchitis and report for the first time the use of aerosolized tissue plasminogen activator for treatment of this condition. The literature is reviewed with emphasis placed on the occurrence of this disorder in patients with single ventricle physiology.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Link

https://publications.aap.org/pediatrics/article-pdf/109/4/e67/1114433/pe0402000e67.pdf

Reference23 articles.

1. Werkhaven J, Holinger LD. Bronchial casts in children. Ann Otol Rhinol Laryngol.1987;96:86–92

2. Quasney MW, Orman K, Thompson J, et al. Plastic bronchitis occurring late after the Fontan procedure: treatment with aerosolized urokinase. Crit Care Med.2000;28:2107–2111

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

4. Liston SL, Porto D, Siegel LG. Plastic bronchitis. Laryngoscope.1986;96:1347–1351

5. Perez-Soler A. Cast bronchitis in infants and children. Am J Dis Child.1989;143:1024–1029

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