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Percutaneous thoracic duct intervention to treat plastic bronchitis related to Fontan palliation
Author(s) -
DePopas Eric M.,
Veress Livia A.,
Ahmed Farres,
Rausch Christopher M.,
Annam Aparna,
Gupta Rajan
Publication year - 2017
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.23793
Subject(s) - medicine , thoracic duct , percutaneous , surgery , radiology , lymph , psychiatry
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.