Barber B J, Burch G H, Tripple D, Balaji S
Section of Pediatric Cardiology, Doernbecher Children's Hospital, Oregon Health and Sciences University, 707 SW Gaines Road, CDRC-P, Portland, OR 97239, USA.
Pediatr Cardiol. 2004 Jan-Feb;25(1):73-6. doi: 10.1007/s00246-003-0529-9. Epub 2003 Oct 13.
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.