CT findings of plastic bronchitis in children after a Fontan operation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-09

AUTHORS

Hyun Woo Goo, Won Kyoung Jhang, Young Hwee Kim, Jae Kon Ko, In Sook Park, Jeong-Jun Park, Tae-Jin Yun, Dong-Man Seo

ABSTRACT

BACKGROUND: Plastic bronchitis is a rare cause of acute obstructive respiratory failure in children. Life-threatening events are much more frequent in patients with repaired cyanotic congenital heart disease, and most frequent following a Fontan operation. Commonly, the diagnosis is not made until bronchial casts are expectorated. Detailed CT findings in plastic bronchitis have not been described. OBJECTIVE: To describe the CT findings in plastic bronchitis in children after a Fontan operation. MATERIALS AND METHODS: Three children with plastic bronchitis after a Fontan operation were evaluated by chest CT. Bronchial casts were spontaneously expectorated and/or extracted by bronchoscopy. Airway and lung abnormalities seen on CT were analyzed in the three children. RESULTS: CT demonstrated bronchial casts in the central airways with associated atelectasis and consolidation in all children. The affected airways were completely or partially obstructed by the bronchial casts without associated bronchiectasis. The airway and lung abnormalities rapidly improved after removal of the bronchial casts. CONCLUSION: CT can identify airway and lung abnormalities in children with plastic bronchitis after a Fontan operation. In addition, CT can be used to guide bronchoscopy and to monitor treatment responses, and thereby may improve clinical outcomes. More... »

PAGES

989-993

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00247-008-0937-3

DOI

http://dx.doi.org/10.1007/s00247-008-0937-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1030176515

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18629486


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