Retrograde thoracic duct embolization for adult-onset plastic bronchitis with idiopathic lymphatic flow anomaly.

Hayden L Hofmann, Jesse Han, Jenanan Vairavamurthy, Ramon R Ter-Oganesyan

Abstract readCase Reports

In one paragraph

Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Hayden L HofmannDepartment of Radiology, Division of Interventional Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Jesse HanDepartment of Radiology, Division of Interventional Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Jenanan VairavamurthyDepartment of Radiology, Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Ramon R Ter-OganesyanDepartment of Radiology, Division of Interventional Radiology, Los Angeles General Medical Center, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of a patient who developed adult-onset plastic bronchitis (PB) due to aberrant lymphatic anatomy, which resulted in direct lymph drainage into the left lower lobe bronchus. After failure of medical management, successful thoracic duct embolization was performed targeting the aberrant lymphatic duct via transnodal lymphangiography and a retrograde transvenous lymphatic access. Following intervention, the patient reported no adverse events and complete resolution of symptoms without any chronic cough or cast expectoration. The case supports the advantages of transcatheter lymphatic embolotherapy including its minimally invasive nature and short recovery period and hospital stay. Additionally, the case provides evidence for the use of transcatheter thoracic duct n-butyl cyanoacrylate (n-BCA) embolization for managing lymphatic malformations in patients presenting with plastic bronchitis.

Indexed as

Lymphatic malformationsPlastic bronchitisThoracic duct embolization

Identifiers

PMID40727900

DOI10.1016/j.radcr.2025.06.068

PMCPMC12301785

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