Published: Sat, December 08, 2018
Medicine | By Brett Sutton

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

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

The photo of the incredible clot was shared by the New England Journal of Medicine.

In a medically-worded tweet, the NEJM explained what happened.

Doctors placed a ventricular assist device, a heart pump, into him to treat his condition, but he showed signs of respiratory distress.

In 2012, it was reported a 40-year-old in the United Kingdom literally coughed out her lung through her ribs. His medical history included heart failure with an ejection fraction of 20%, bioprosthetic aortic-valve replacement for bicuspid aortic stenosis, endovascular stenting of an aortic aneurysm, and placement of a permanent pacemaker for complete heart block.

A man coughed up a freaky blood clot that was practically a copy of the inside of his lung, astonishing doctors around the world. And in the midst of one coughing fit he hawked up a bronchial tree - a series of tubes that distribute air to the lungs.

It was originally folded in on itself, and the treating doctor, Georg Wieselthaler and his team carefully unfolded it, and were shocked at what they saw.

Dr Wieselthaler carefully spread out the coughed-up clot, realising it was the ideal shape.


Doctors were surprised by the blood clot cast.

"We were astonished", he said.

Wieselthaler called the occurrence "very, very, very rare".

Fibrinogen is a type of protein in the blood that works to glue platelets together.

A 36-year-old California man who was admitted to the intensive care unit with chronic heart failure was coughing so severely that he hacked up an intact cast of the right bronchial tree.

Sadly, a week after the man coughed up the clot, he died due to complications from heart failure despite being fitted out with the ventricular assistance device.

In 2005, a heavily pregnant woman coughed up a similar but smaller bronchial tree clot.

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