• Ugeskrift for laeger · Jun 2012

    Case Reports

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

    • Bo L K Chawes, Tim Jensen, Rúna Olsen, Frói Joensen, Kim G Nielsen, and Frederik Buchvald.
    • BørneUngeKlinikken, Dansk BørneLungeCenter, Juliane Marie Centret, Rigshospitalet, Blegdamsvej 9, 2100 København Ø, Denmark. b_chawes@hotmail.com
    • Ugeskr. Laeg. 2012 Jun 11; 174 (24): 1674-5.

    AbstractPlastic 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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