Plastic bronchitis is an uncommon but dangerous clinical condition characterised by extensive cast development in the bronchial airways. This is most commonly seen in children after undergoing heart surgery (particularly post-Fontan procedure). For cast removal and symptomatic alleviation, several therapies and care techniques have been employed with varying degrees of effectiveness. Researchers present one such instance in which all of the commonly documented medical treatments failed to give long-term relief of symptoms, necessitating transfer for thoracic duct ligation. 

The clinical and radiographic characteristics of the patient, management methods, and clinical course are discussed, as well as a brief overview of the currently available management options for the clinical practitioner in dealing with plastic bronchitis.