Pediatric Plastic Bronchitis: Case Report and Retrospective Comparative Analysis of Epidemiology and Pathology

Plastic bronchitis (PB) is a pathologic condition in which airway casts develop in the tracheobronchial tree causing airway obstruction. There is no standard treatment strategy for this uncommon condition. We report an index patient treated using an emerging multimodal strategy of directly instilled and inhaled tissue plasminogen activator (t-PA) as well as 13 other cases of PB at our institution between 2000 and 2012. The majority of cases (n=8) occurred in patients with congenital heart disease. Clinical presentations, treatments used, histopathology of the casts, and patient outcomes are reviewed. Further discussion is focused on the epidemiology of plastic bronchitis and a systematic approach to the histologic classification of casts. Comorbid conditions identified in this study included congenital heart disease (8), pneumonia (3), and asthma (2). Our institutional prevalence rate was 6.8 per 100,000 patients, and our case fatality rate was 7%.

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Plastic Bronchitis in an AIDS Patient with Pulmonary Kaposi Sarcoma

Case Reports in Pulmonology ◽

10.1155/2018/9736516 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Sheila A. Habib ◽

Robert C. Vasko ◽

Jack Badawy ◽

Gregory M. Anstead

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Case Report ◽

Congenital Heart ◽

Kaposi Sarcoma ◽

Tracheobronchial Tree ◽

Unknown Etiology ◽

Plastic Bronchitis ◽

Rare Occurrence ◽

Bronchial Casts

Plastic bronchitis is the expectoration of bronchial casts in the mold of the tracheobronchial tree. It is a rare occurrence of unknown etiology that has been primarily described in children with congenital heart disease. In this case report, we present the first reported case of plastic bronchitis in a patient with pulmonary Kaposi sarcoma and underlying HIV infection.

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ASSOCIATION BETWEEN COMBINED ANATOMIC AND PHYSIOLOGIC CLASSIFICATION OF ADULTS WITH CONGENITAL HEART DISEASE (ACHD) AND SELECTED HEALTHCARE UTILIZATION AND CLINICAL OUTCOMES

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(21)01806-4 ◽

2021 ◽

Vol 77 (18) ◽

pp. 447

Author(s):

David Rink ◽

Wendy Book ◽

Cheryl Raskind-Hood ◽

Vijaya Kancherla ◽

Trenton Hoffman ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Clinical Outcomes ◽

Healthcare Utilization ◽

Congenital Heart

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Tracheobronchial Compression in Acyanotic Congenital Heart Disease

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948309200419 ◽

1983 ◽

Vol 92 (4) ◽

pp. 387-390 ◽

Cited By ~ 37

Author(s):

Norman T. Berlinger ◽

John Foker ◽

Charles Long ◽

Russell V. Lucas

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Main Bronchus ◽

Ductus Arteriosus ◽

Pulmonary Arteries ◽

Tracheobronchial Tree ◽

Middle Lobe ◽

Lobe Bronchus ◽

Acyanotic Congenital Heart Disease

Children with acyanotic congenital heart disease frequently develop respiratory difficulties such as atelectasis, pneumonia, or infantile lobar emphysema. In some cases, the cause of the respiratory difficulty is compression of the tracheobronchial tree by hypertensive dilated pulmonary arteries, since this type of heart disease frequently demonstrates large left-to-right intracardiac shunts. Sites of predilection for compression include the left main bronchus, the left upper lobe bronchus, the junction of the right bronchus intermedius and right middle lobe bronchus, and the left side of the distal trachea. Cardiac anomalies which predispose to this type of compression include ventricular septal defect, patent ductus arteriosus, interruption of the aortic arch, and tetralogy of Fallot. Pulmonary arteriopexy may relieve the tracheobronchial compression.

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Angiographic classification of a single ventricle of the heart

Kazan medical journal ◽

10.17816/kazmj62405 ◽

1982 ◽

Vol 63 (6) ◽

pp. 44-46

Author(s):

B. E. Shakhov

Keyword(s):

Congenital Heart Disease ◽

Cardiac Surgery ◽

Heart Disease ◽

Congenital Heart ◽

Single Ventricle ◽

Complex Congenital Heart Disease ◽

Heart Ventricle ◽

New Classification ◽

Angiographic Examination

Based on the data of angiographic examination of 25 patients with a single heart ventricle, a new classification of complex congenital heart disease is proposed. It indicates the type of defect without taking into account the morphology of the single ventricular chamber, which is angiographically difficult or impossible to determine in some cases. This classification simplifies the interpretation of angiographic images, reflects the anatomical variants of the defect and meets the modern requirements of cardiac surgery.

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Adult Congenital Heart Disease

The Brigham Intensive Review of Internal Medicine ◽

10.1093/med/9780199358274.003.0084 ◽

2014 ◽

pp. 870-880

Author(s):

Yuli Y. Kim ◽

Michael J. Landzberg ◽

Anne Marie Valente

Keyword(s):

United States ◽

Congenital Heart Disease ◽

Heart Disease ◽

Natural History ◽

Congenital Heart ◽

Adult Congenital Heart Disease ◽

The United States ◽

Complex Congenital Heart Disease ◽

Clinical Presentations ◽

Adult Congenital

Historically, individuals with complex congenital heart disease rarely lived past childhood. Due to tremendous advances in diagnosis and treatment, now 85–90% of children born with congenital heart disease will survive into adulthood. Estimates suggest that over 1 million adults with congenital heart disease currently live in the United States. The number of adults with congenital heart disease (ACHD) is growing by approximately 5% each year. The majority of these patients do not appear to be followed by ACHD specialists. Therefore, it is essential that all physicians familiarize themselves with the unique clinical presentations of these patients, including the anatomy, physiology, and natural history in order to facilitate proper management and referral.

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Classification of Ventricular Septal Defects for the Eleventh Iteration of the International Classification of Diseases—Striving for Consensus: A Report From the International Society for Nomenclature of Paediatric and Congenital Heart Disease

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2018.06.020 ◽

2018 ◽

Vol 106 (5) ◽

pp. 1578-1589 ◽

Cited By ~ 24

Author(s):

Leo Lopez ◽

Lucile Houyel ◽

Steven D. Colan ◽

Robert H. Anderson ◽

Marie J. Béland ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

International Society ◽

Congenital Heart ◽

International Classification Of Diseases ◽

International Classification ◽

Ventricular Septal Defects ◽

Septal Defects ◽

Classification Of Diseases

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Reconstruction of a Previously Repaired Aortic Valve Destroyed by Infective Endocarditis: Case Report

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135116636571 ◽

2016 ◽

Vol 8 (3) ◽

pp. 408-410

Author(s):

Tomas Chalela ◽

Viktor Hraska

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Case Report ◽

Infective Endocarditis ◽

Aortic Valve ◽

Congenital Heart ◽

Congenital Aortic Stenosis ◽

Life Threatening ◽

History Of ◽

Uncommon Condition

Infective endocarditis (IE) is an uncommon condition among patients with congenital heart disease, however it can be life threatening. The usual management includes replacement of the affected valve, especially in patients with aortic valve compromise, and is even more common in previously repaired valves. In this case report, we describe the successful reconstruction of an aortic root destroyed by IE, in a patient with history of ballooning of a congenital aortic stenosis.

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