Incredible Blood Clot Coughed Up Intact Stumps Doctors

Pearl Mccarthy
December 8, 2018

He had been hooked up to a ventricular assist device - used to help circulate blood around the body - and administered anti-coagulation therapy (blood thinners).

They said it was possible the man was able to cough it up because of its size, rather than despite it, The Atlantic reported.

The clot shows the three segmental branches in the upper lobe (white arrows), two segmental branches of the middle lobe (black arrows) and five segmental branches of the lower lobe (blue arrows), the NEJM said.

In 2005, a pregnant 25-year-old woman coughed up a similar blood clot that was a copy of the bronchial tree, per the European Journal of Cardio-Thoracic Surgery.

A man coughed up a weird blood clot that was practically a copy of the inside of his lung, astonishing doctors around the world.

The odd sample of a medical anomaly prompted two of his doctors at the University of California, San Francisco - Gavitt Woodard, a thoracic surgeon, and Georg Wieselthaler, the cardiothoracic surgical chief - to write a note on the case, published this week in the New England Journal of Medicine. The patient was already dying from heart failure.

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The man reportedly had a medical history that included heart failure; he had previously been fitted for a pacemaker. According to the manufacturer's website, it is a treatment designed for "no-option patients".

While that, in and of itself, is something astounding, the medical staff treating the unnamed man were astonished to find that, given his unique medical circumstances, the man had actually expectorated a perfectly intact cast of his right bronchial tree, one of the tubular networks that brings air to and from the lungs. But because these machines can also increase the risk of blood clots, he was prescribed a blood-thinner medication.

"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.

Tubes were inserted down his throat and a scope used to examine the patient's airways.

The patient's trachea was intubated and he was extubated two days later.

The man died from heart complications a week after coughing up the clot.

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