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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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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

Abstract:

Plastic bronchitis, a rare but serious clinical condition, commonly seen after Fontan surgeries in children, may be a manifestation of suboptimal adaptation to the cavopulmonary circulation with unfavorable hemodynamics. They are ominous with poor prognosis. Sometimes, infection or airway reactivity may provoke cast bronchitis as a two-step insult on a vulnerable vascular bed. In such instances, aggressive management leads to longer survival. This report of cast bronchitis discusses its current understanding.

Keywords:

Bronchial casts Trichrome stain fontan complications fontan surgery maladaptation plastic bronchitis

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