Resolution of plastic bronchitis with atrial pacing in a patient with fontan physiology.
We describe a 5-year-old boy with Fontan physiology and a ventricular pacemaker who developed severe plastic bronchitis. Evaluation by cardiac catheterization revealed profoundly altered hemodynamics, which improved with atrial pacing. Following implantation of an atrial pacemaker, which restored atrioventricular (A-V) synchrony, the patient's hemodynamics greatly improved and his plastic bronchitis resolved.
Barber
B J
BJ
Section of Pediatric Cardiology, Doernbecher Children's Hospital, Oregon Health and Sciences University, 707 SW Gaines Road, CDRC-P, Portland, OR 97239, USA.
Burch
G H
GH
Tripple
D
D
Balaji
S
S
D001991:Bronchitis / Q000209:etiology / Q000628:therapy*; D002675:Child, Preschool; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D018785:Tricuspid Atresia / Q000150:complications / Q000503:physiopathology / Q000601:surgery*