Clinical Note
April 18, 2011

Endoscopic Treatment of Plastic Bronchitis

Author Affiliations

Author Affiliations: Departments of Otolaryngology, University of Florida, Gainesville (Dr Silva), and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (Drs Simons, Chi, Yellon, and Alper).


Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2011

Arch Otolaryngol Head Neck Surg. 2011;137(4):401-403. doi:10.1001/archoto.2011.43

Plastic bronchitis is a rare condition, characterized by the formation of thick mucus plugs that cause airway obstruction. It is seen in a variety of disorders, including congenital cyanotic heart disease following palliative surgery. We describe the case of a 5-year-old child with hypoplastic left-heart syndrome who had undergone a Fontan procedure and developed recurrent bronchial cast formation. These casts were treated aggressively with repeated rigid bronchoscopy and adjuvant medical therapy. We present a brief review of the pathogenesis, treatment options, and description of the challenges involved with endoscopic removal of bronchial casts.

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