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Man coughs up massive blood clot shaped like bronchial tree
08 December 2018, 05:00 | Randall Craig
Coughing fit patient brought up part of his lung
by Joel Taylor
But blood is less sticky and sturdy than these other substances, meaning that a cast made of blood is less likely to hold together when coughed up, the Atlantic reported.
The completeness of the clot, once unfolded onto blue medical cloth, astounded doctors; they could trace the three branches of the upper lobe of the lung, the two branches in the middle lobe and five segmental branches in the lower.
And in the midst of one coughing fit he hawked up a bronchial tree - a series of tubes that distribute air to the lungs.
Georg Wieselthaler, a surgeon at the hospital, told The Atlantic that doctors were "astonished" by what they witnessed. Fox 10 in Phoenix noted that he'd previously been fitted with a pacemaker.
Blood clots are a known possible side effect of the pump.
In January 2012, a 40-year-old woman in Birmingham, U.K also herniated her lung, having it protrude from two of her ribs after a violent cough.
"Blood clots may develop, which can travel through your blood vessels and block the blood flow to other organs, including your lungs making breathing hard", according to the Impella website.
While being treated in hospital, he started coughing up blood and mucus, which apparently increased the strain on his lungs, and doctors had started treating him with oxygen tanks.
To reduce clotting, doctors use a blood thinner called heparin. Indeed, the patient had several coughing episodes in which he expelled small amounts of blood, according to the report.
According to doctors, the clot was a near ideal cast of the man's right bronchial tree.
Reports say the man had a rare ejection fraction deficiency (which relates to how much blood is pumped with each contraction), which meant his organ was operating at around 50 percent less than the normal rate. One week after extubation, he died from complications of heart failure (volume overload and poor cardiac output) despite placement of the ventricular assist device.
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