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Resolution of Plastic Bronchitis with Atrial Pacing in a Patient with Fontan Physiology
Authors:B. J. Barber  G. H. Burch  D. Tripple  S. Balaji
Affiliation:(1) Section of Pediatric Cardiology, Doernbecher Children"rsquo"s Hospital, Oregon Health and Sciences University, 707 SW Gaines Road, CDRC-P, Portland, OR 97239, USA;(2) Section of Pediatric Cardiology, Mary Bridge Children"rsquo"s Hospital, Tacoma, WA, USA
Abstract: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 patientrsquos hemodynamics greatly improved and his plastic bronchitis resolved.
Keywords:Plastic bronchitis  Atrial pacing  Fontan physiology
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