Incredible Blood Clot Coughed Up Intact Stumps Doctors

A 36-year-old man was admitted to the intensive care unit with an acute exacerbation of chronic heart failure. His medical history included heart failure with an ejection fraction of 20% bioprosthetic aortic-valve replacement for bicuspid aortic stenosis

The bronchial tree coughed up by the patient 36

You might think twice about the phrase "cough up a lung" after reading this.

Doctors aren't quite sure how the clot stayed intact while being coughed up, but Dr Wieselthaler suspects it could be due to the patient's higher level of fibringen in his blood, which acts like a glue.

In other words, the man was rushed to hospital with chronic heart failure and to help his heart, doctors at the University of California - where the man was admitted - connected him to a machine created to maximise blood flow around the body.

A report says the man was was admitted to the intensive care unit at UC San Francisco Medical Center for chronic heart failure.

Doctors placed a ventricular assist device, a heart pump, into him to treat his condition, but he showed signs of respiratory distress.

According to a case report from the New England Journal of Medicine published on November 29, during a particularly violent coughing spell, the man coughed up his right bronchial tree - all intact.

Georg Wieselthaler, a transplant and pulmonary surgeon at UCSF, told the Atlantic his team was easily able to identify the origin of the clot, it was so detailed.

"We were astonished", Dr Wieselthaler said.

The man coughed up the right bronchial tree.

"It's a curiosity you can't imagine".

On Tuesday, the widely respected journal shared a truly incredible case: a 36-year-old man with aggressive end-stage heart failure had a coughing fit so extreme that he coughed up a six-inch wide blood clot.

A 2005 report in the European Journal of Cardio-Thoracic Surgery refers to a similar case where a pregnant woman coughed up a less-extensive blood clot cast also in the shape of her bronchial tree.

The 25-year-old mum went on to recover fully and delivered a healthy, full-term baby soon after.

The patient later died from heart failure complications.

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