US Man Coughs Up Blood Clot ‘Cast’ of His Lung

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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.

The source of information in this article has been provided largely in part to an article in the New England Journal of Medicine.

A 36-year-old man literally coughed up a piece of his lung after being hospitalized with heart problems at a hospital in California.

The unidentified man was admitted to the intensive care unit of the University of California San Francisco Medical Center, as per a New England Journal of Medicine article on November 29. The patient was put on a pump to help maximize blood flow through the body and was administered anticoagulants to make the blood thinner and prevent clots from forming.

The case is documented in the New England Journal of Medicine, where it is narrated that during an extreme bout of coughing, the patient spontaneously expectorated an intact case of the right bronchial tree.

"We were astonished", pulmonary surgeon Georg Wieselthaler told The Atlantic of the clot. "It's a curiosity you can't imagine-I mean, this is very, very, very rare", he said in a The Atlantic report.

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

According to doctors, the clot was a near ideal cast of the man's right bronchial tree.

His trachea was then intubated, with the flexible bronchoscopy revealing a small amount of blood in the basilar branches of the right lower lobe of his lungs.

A man being treated in hospital for heart failure at 36 died after coughing up part of his lung.

After this episode, he ceased coughing up blood, and his tubes were removed a couple days later.