ArticleJACC. Case reports2025
Lymphatic Abnormalities in Fontan: Case Report of Plastic Bronchitis.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Case Report: Adult fibrinous bronchitis associated with lymphatic reflux: a probable diagnosis based on convergent evidence.Frontiers in medicine · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Plastic bronchitis is a rare but severe complication in Fontan patients. Central lymphatic evaluation may direct therapy for these complications. We present a 22-year-old mn post-Fontan who presented with bronchial casts. Initial medical management failed to reduce cast formation. Dynamic contrast-enhanced magnetic resonance lymphangiography was conducted for targeted management, revealing an aberrant lymphatic channel draining to the right pulmonary hilum. After 2 failed attempts, a percutaneous intervention with a proctoring aid resolved symptoms, improving the patient's condition. This case contributes to the literature on the role of central lymphatic imaging in diagnosing and treating lymphatic complications in Fontan patients. However, expertise is needed to successfully deliver targeted interventional lymphatic therapy. Understanding the management of Fontan patients requires recognizing lymphatic complications. Studying the central lymphatic system through dynamic contrast-enhanced magnetic resonance lymphangiography in patients with Fontan aids in diagnosing lymphatic abnormalities and targeting treatment.
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