title: Plastic bronchitis.
abstract: Plastic bronchitis, a rare but serious clinical condition, commonly seen after Fontan surgeries in children, may be a manifestation of suboptimal adaptation to the cavopulmonary circulation with unfavorable hemodynamics. They are ominous with poor prognosis. Sometimes, infection or airway reactivity may provoke cast bronchitis as a two-step insult on a vulnerable vascular bed. In such instances, aggressive management leads to longer survival. This report of cast bronchitis discusses its current understanding.
authors.affiliation: Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.
authors.forename: Anil Kumar
authors.initials: AK
authors.lastname: Singhi
authors.affiliation: Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.
authors.forename: Bharathi
authors.initials: B
authors.lastname: Vinoth
authors.affiliation: Department of Pathology and Clinical Laboratory Services, Madras Medical Mission, Chennai, Tamil Nadu, India.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kuruvilla
authors.affiliation: Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.
authors.forename: Kothandam
authors.initials: K
authors.lastname: Sivakumar
keywords: Bronchial casts; Trichrome stain; fontan complications; fontan surgery; maladaptation; plastic bronchitis