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Updated: Mar 30, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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Published on: November 4, 2010

Plastic bronchitis.

Anil Kumar Singhi¹, Bharathi Vinoth¹, Sarah Kuruvilla²

¹Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.

Annals of Pediatric Cardiology

|November 12, 2015

Summary

Plastic bronchitis, a rare condition after Fontan surgery, stems from poor cavopulmonary circulation adaptation. Prompt management of infection or airway issues can improve survival for this serious condition.

Keywords:

Bronchial casts Trichrome stain fontan complications fontan surgery maladaptation plastic bronchitis

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Area of Science:

Pediatric Cardiology
Thoracic Surgery
Critical Care Medicine

Background:

Plastic bronchitis is a rare but serious condition often observed in pediatric patients following Fontan surgeries.
It is frequently associated with suboptimal adaptation to the altered cavopulmonary circulation, leading to unfavorable hemodynamics.

Observation:

The condition presents with bronchial casts, which are ominous and associated with a poor prognosis.
Infection or airway reactivity can act as triggers, exacerbating the condition in a vulnerable vascular bed.

Findings:

Plastic bronchitis may represent a manifestation of hemodynamic compromise post-Fontan procedure.
The formation of bronchial casts indicates a severe clinical insult.

Implications:

Early recognition and aggressive management, particularly addressing superimposed infections or airway reactivity, are crucial for improving patient survival.
This understanding highlights the need for vigilant monitoring and tailored interventions in children with Fontan-associated plastic bronchitis.