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Plastic bronchitis: symptomatic improvement after pulmonary arterial stenting in four patients with Fontan circulation

Published online by Cambridge University Press:  18 December 2013

Daniel Tanase*
Affiliation:
Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany
Peter Ewert
Affiliation:
Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany
Andreas Eicken
Affiliation:
Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany
*
Correspondence to: D. Tanase, Departement of Pediatric Cardiology and Congenital Heart Disease, German Heart Center, Deutsches Herzzentrum München, Lazarettstr 36, München 80636, Germany. Tel: +49-89-1218 2844; Fax: +49-89-1218 3333; E-mail: tanase@dhm.mhn.de

Abstract

Plastic bronchitis is a severe complication after a Fontan procedure, with an estimated incidence around 1–2% and poor prognosis. We present the cases of four patients with plastic bronchitis after a total cavopulmonary connection with a stenosis of the left pulmonary artery that was stented successfully. In three of the four patients, symptoms improved after catheter intervention in combination with pulmonary vasodilator and inhalative treatment.

Type
Brief Reports
Copyright
© Cambridge University Press 2013 

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