Percutaneous thoracic duct intervention to treat plastic bronchitis related to Fontan palliation. Issue 11 (4th September 2017)

• Record Type: Journal Article
• Authors: DePopas, Eric M.; Veress, Livia A.; Ahmed, Farres; Rausch, Christopher M.; Annam, Aparna; Gupta, Rajan
• Is Part Of: Pediatric pulmonology. Volume 52:Issue 11(2017)
• Page Start: E97
• Page End: E101
• Publication Date: 2017-09-04
• Subjects: Fontan -- percutaneous -- plastic bronchitis -- thoracic duct embolization; Pediatric respiratory diseases -- Periodicals; Pediatrics -- Periodicals; 618.922
• DOI: 10.1002/ppul.23793
• Languages: English
• ISSNs: 8755-6863

Abstract

Abstract: Plastic bronchitis is a life‐threatening condition of airway obstructive cast formation. This pediatric case series from a high altitude center details the course of three patients after percutaneous thoracic duct interventions for refractory plastic bronchitis, with a follow‐up interval of 3.5 years. In two patients, where cisterna chyli maceration (patients 2) or thoracic duct embolization (patient 3) was performed, a sustained clinical improvement is shown, with no subsequent cast recurrence. In patient 1, cisterna chyli maceration resulted in partial improvement. Herein, a favorable outcome is shown in pediatric patients with percutaneous thoracic duct interventions for plastic bronchitis at altitude.