Friday, 15 February, 2019

Incredible Blood Clot Coughed Up Intact Stumps Doctors

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Melissa Porter | 08 December, 2018, 01:00

In 2012, it was reported a 40-year-old in the United Kingdom literally coughed out her lung through her ribs.

This kind of clot isn't unheard of in patients, but what was unusual was how intact it was.

The man reportedly had a medical history that included heart failure; he had previously been fitted for a pacemaker.

Georg Wieselthaler, a transplant and pulmonary surgeon at the University of California at San Francisco, was in charge of the man's care, and hooked the patient up to a pump to assist blood flow throughout his body, while also providing a course of anticoagulants to help keep the man alive.

"An Impella ventricular assist device was placed for management of acute heart failure, and a continuous heparin infusion was initiated for systemic anticoagulation".

"During an extreme bout of coughing, the patient spontaneously expectorated an intact cast of the right bronchial tree", the doctors say.

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Bronchial tree clots (called casts) are actually relativelycommon but only in extremely rare cases do they emerge in such pristine condition.

"We were astonished", he said.

The New England Journal of Medicine posted a story about a 36-year-old man who had a blot clot in his lung and when it came out, it looked just like part of his lung.

Even though the man had no further episodes of coughing up blood, he unfortunately died a week later from complications of heart failure.

When Wieselthaler and his team delicately spread out the clot, they discovered "that the architecture of the airways had been retained so perfectly that they were able to identify it as the right bronchial tree based exclusively on the number of branches and their alignment". "It's a curiosity you can't imagine-I mean, this is very, very, very rare".