Thursday, 20 June, 2019


Graphic content: Doctors shocked after man coughs up lung clot

Graphic content: Doctors shocked after man coughs up lung clot Graphic content: Doctors shocked after man coughs up lung clot
Patty Aguilar | 08 December, 2018, 05:02

"You have high turbulence inside the pumps, and that can cause clots to form inside", Wieselthalers told The Atlantic.

Rather than doctors pulling the red, bloody blot out of the patient's lung, however, the man unexpectedly hacked it out himself, as the doctors later noted: "During an extreme bout of coughing".

The unidentified patient was receiving treatment in the Intensive Care Unit at the University of California San Francisco Medical Center, according to a November 29 article in the New England Journal of Medicine. After a ventricular assist device was placed & anticoagulation therapy initiated, hemoptysis developed, and he expectorated a cast of the right bronchial tree.

The anti-coagulants the man was taking forced blood out of his pulmonary system and into his right lung. He had chronic heart failure, which means the heart muscle can't pump enough blood to meet the body's normal demands.

It turns out that the 36-year-old patient's condition produced elevated levels of fibrinogen, a protein that can act as a glue to assist the clotting process, which allowed the rubbery "blood sculpture" to escape the man's trachea intact.

Wieselthaler called the occurrence "very, very, very rare".

In 2005, a pregnant 25-year-old woman coughed up a similar blood clot that was a copy of the bronchial tree, per the European Journal of Cardio-Thoracic Surgery. But because these machines can also increase the risk of blood clots, he was prescribed a blood-thinner medication.

However, the article reports that he passed away one week later due to complications of heart failure.

Two days later, the tubes were removed and he had no further bloody coughing, the doctors wrote.

More specifically it's a six-inch-wide, unbroken cast of the right bronchial tree, part of the tubular network that distributes air to the lungs.

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