Wednesday, 26 June, 2019

Man died after coughing up lung after heart surgery

Clear out The bronchial tree the man coughed Coughing fit patient brought up part of his lung by Joel Taylor Published
Anna Jefferson | 08 December, 2018, 05:03

"An Impella ventricular assist device was placed for management of acute heart failure, and a continuous heparin infusion was initiated for systemic anticoagulation".

The completeness of the clot, once unfolded onto blue medical cloth, astounded doctors; they could trace the three branches of the upper lobe of the lung, the two branches in the middle lobe and five segmental branches in the lower.

Along with blood and mucus, he brought up a his left bronchial tree - a series of tubes that distribute air to his lungs.

Wieselthaler told the Atlantic that in this case, the patient had an infection that increased levels of a protein called fibrinogen, which helps blood clots form; and higher levels of fibrinogen could have helped the man's large clot to stay intact when it was coughed up. He had chronic heart failure, which means the heart muscle can't pump enough blood to meet the body's normal demands.

Various media reports have twisted the science of the thing, presenting it as a patient literally coughing up a lung, a common expression for what it feels like to cough profusely.

The patient had a violent coughing fit in hospital a week after surgery to fit him with a pacemaker in case his heart became blocked.

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The pulmonary surgeon caring for the 36-year-old told The Atlantic the patient then needed further care.

However, over the course of a week, the man had started coughing up phlegm and blood, the cough being so severe that he coughed up an intact cast of the right bronchial tree.

He had increasing trouble breathing and needed supplemental oxygen to ease it.

After coughing up part of his lung, the patient was immediately intubated and doctors performed a bronchoscopy, which is a test that allows them to examine airways. One week later, he died from complications of heart failure.

The woman suffered from asthma, and and after two weeks of particularly harsh coughing, herniating her lung so it slipped through her ribs.

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