Man coughs up part of lung while being treated for heart failure

​Man Dies After Coughing Up Lung's Bronchial Tree

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

It came from a 36-year-old man with end-stage heart failure who spat out the medical anomaly in one piece during a an extreme bout of coughing in hospital.

The unidentified patient, whose case was written about in the New England Journal of Medicine, was receiving treatment at the University of California San Francisco (UCSF) Medical Center and had previously been fitted with a pacemaker. "So with all these patients, you have to give them anticoagulants to make the blood thinner and prevent clots from forming". Last week, a hospitalized California man coughed up an intact cast of part of his right lung, a colossal blood clot almost six inches wide.

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

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

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After days of coughing up tiny blood clots, the man eventually - much to his relief - spat up a cast of his right lung's bronchial tree. These medications are what caused the patient's blood to eventually break out of the network and into the lower right lung-due to the clotting agents not being able to fix cracks in the system. "It's a curiosity you can't imagine-I mean, this is very, very, very rare".

"We were astonished", Dr Wieselthaler said.

Unfortunately, the patient who coughed up the curious clot died from complications of heart failure a week later, the Journal said.

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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