It looks like a tree, a coral or some roots. We could even assume that it is an artistic installation. But it's a blood clot. 15 inches wide from the right bronchial tree. The most incredible: a man expels him coughing.
The image was provided by Gavitt Woodard and Georg Wieselthaler, two physicians at the University of California (USA) who treated the patient. The newspaper published in November New England Journal of Medicine and since then he's been going around the world.
As published in The Atlantic, doctors still do not explain how it could have come out of his body. "That surprised us, it's a curiosity you can not imagine, that is, this is very, very, very rare," Wieselthaler said.
The 36-year-old patient had "heart failure with a 20% ejection fraction, bioprosthesis aortic valve replacement for bicuspid aortic stenosis, aortic aneurysm, and definitive pacemaker placement for complete heart block."
When he was admitted to the hospital's intensive care unit, he was connected to a pump for blood to circulate. "An Impella ventricular assist device was placed in the treatment of acute heart failure and a continuous infusion of heparin was initiated for systemic anticoagulation," the medical report states.
"During an extreme coughing attack, the patient spontaneously expelled an intact template of the right bronchial tree"to be continued.
Then the man was extubated and had no more episodes of hemoptysis. But a week later, he died of heart failure complications, despite the placement of the ventricular assist device.