A 36-year-old California man recently coughed up a blood clot in the shape of his bronchial tree after being hospitalized for heart palpitations. According to a case report published in the New England Journal of Medicinethis link opens in a new tab, the man was admitted to the ICU at the University of California, San Francisco Medical Center with chronic heart failure. He had a history of poor cardiovascular health and previously had a pacemaker implanted, in case his heart became completely blocked.
Throughout his first week in the ICU, he regularly coughed up blood and mucus, but one coughing spell was worse than the others. He coughed up a tree-shaped blood clot that had formed a cast of his right bronchial tree (pictured above), which has tubes that distribute air to the lungs. Yep, he literally coughed up a gel-like mold of part of his lung.
After the incident, a tube was placed in the patient’s throat to allow him to breathe. But he passed away the following week from heart failure complications, including too much fluid in the blood and not enough blood pumping through the body.
The patient was already in poor health when he entered the hospital. He had an ejection fraction (EF)—which measures how much blood the left ventricle pumps out with each contraction—of only 20%. A normal EF is above 55%, according to Mayo Clinicthis link opens in a new tab.
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