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Case Reports
. 2015 Sep-Dec;8(3):246-8.
doi: 10.4103/0974-2069.164682.

Plastic bronchitis

Anil Kumar Singhi  1 , Bharathi Vinoth  1 , Sarah Kuruvilla  2 , Kothandam Sivakumar  1
Affiliations
Case Reports

Plastic bronchitis

Anil Kumar Singhi et al. Ann Pediatr Cardiol. 2015 Sep-Dec.

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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Figures

Figure 1
Figure 1
(a) Expectorated cast material in a receptacle. (b) White tenacious mucoid cast showing tree-like branching of the bronchial tree
Figure 2
Figure 2
(a) Histology with hematoxylin and eosin stain at ×200 shows the proteinaceous material, entrapped lymphocytes, neutrophils, and eosinophils. (b) Trichrome stain shows both mucoid material and fibrinous material, showing features of both type I and II casts
See this image and copyright information in PMC

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