The man who underwent the treatment of heart failure cleared the giant intact blood clot that created the perfect occupation of the air passages of his lungs.
The complexity of the clot, as it developed into a blue medical cloud, amazed the physician; They could trace three branches of the upper lobe of the lungs, two branches in the middle lobe and five segmental branches at the bottom.
In the range of about 15 cm to 17 cm, there was such a perfect cast of breathing that they knew exactly where the clot originated, the right bronchial tree of the patient.
Although it is called a tree, it more resembles the roots. Imagine pulling on a robust dandelion when suddenly all the complex root system slips out of the ground without going off the bits.
Rather than doctors who pulled a red, bloody mass from the lungs of the patient, one unexpectedly avoided himself, as the doctors later remarked, "During an extreme bout of cough."
A strange pattern of medical anomalies was caused by two of his doctors at San Francisco University – Gavitt Woodard, Chest, and Georg Wieselthaler, a cardiothoracic surgical boss – to write a note on the case that was published this week by the New England Journal of Medicine.
The reaction of the public was a mixture of miracle and horror.
Various media reports twisted the science of things and presented it as a patient who literally chased the lungs, which is a common expression of what he feels abusive.
"Man cleared a part of his lungs while he was being treated for heart failure," says Fox News, when he does not notice or notice that it is casting inside the lungs, like pouring concrete into the mold and removing the mold, only with blood rather than with concrete – which came from the mouth, rather than the lungs themselves.
Daily Mail Online even used its wrong direction in the title: "A man, 36, has cleared a part of his LUNGU," he says.
A complicated expectorate is where the blood flows into the air passages of the patient's lungs and hardened, which is called healing coagulation. The stiff blood caused an intense cough to clean them. And it's clear.
However, any relief from production coughing lasted. The patient was already dying of heart failure. Despite the hit, he died nine days after hacking out of sight.
Doctors do not identify their patient by name but say they are a 36-year-old man who is treated with an intensive care unit and suffers from chronic heart failure.
He had considerable interventions including aortic valve replacement, aortic aneurysm stenting, and a sustained pacemaker was implanted for the complete heart block.
A particular clot is likely to be explained by another procedure.
Doctors placed the heart of the Impella ventricular assist device through the artery, a heart pump that temporarily supports the patient by moving blood through the heart to other organs in the body. According to the manufacturer's website, this treatment is for patients without treatment.
Blood clots are a known possible side effect of the pump.
"There may be blood clots that can pass through blood vessels and block the flow of blood to other organs, including lungs, which causes breathing to be difficult," says Impella.
To reduce coagulation, doctors use a blood thinner called heparin.
Over the next week, the patient had recurring coughing, hacking small amounts of blood or mucus bleeding, doctors wrote in his published case.
He increased breathing problems and needed an oxygen supplement to ease it.
"During an extreme bout of coughing, the patient spontaneously castrated an intact cast of the right bronchial tree," the doctors wrote.
Tubes and a patient's examination area were inserted into his throat. Two days later the tubes were removed and another bleeding cough was not passed, the doctors wrote.
A week later, however, the patient died of complications of heart failure.
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