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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).

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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