Although it looks like a coral, a radical system, or any other type of growth, the above picture actually has six-inch-wide blood cotton in the almost perfect form of the right bronchial human lung tree, the Atlantic reported on Thursday. The revelation is even more uncomfortable that it was not removed from a doctor, but in fact removed from a patient who suffered a heart failure.
The photo was released in late November as part of the New England Journal of Medicine series of Clinics Medicine. Gavitt A. Woodard and Georg M. Wieselthaler doctors Gavitt A. Woodard and Georg M. Wieselthaler wrote that it was from their patient, a 36-year-old man, who long fought with a chronic heart failure. The patient was said to have had a medical history including "heart failure with a fraction of 20%, bioprostic aortic-valve replacement for beech aortic stenosis, endovascular stentification of aortic aneurism, and placement of a permanent shoemaker for complete choral." When patience was admitted to the medical unit of the hospital, they embraced him to a pump designed to help circulate blood throughout the body:
An impeccable ventricular aid device was set for the administration of acute heart failure, and a continuous heparin infusion was initiated for a systemic anticoagulation. During the next week, the patient had episodes of small volume hemorrhage, increasing respiratory misery, and increasing use of additional oxygen (up to 20 liters transmitted by a high-flow nasal canal). During extreme fighting, the patient spontaneously expected an inappropriate role of the bronchialbone right.
The patient was later abducted and "had no further episodes of hemoptizo," the doctors wrote, but a week later he died unfortunately because of complications of unsuccessful heart (weight loss and poor heart output) in spite of locating the ventricular aid. "
Through the Atlantic, Wieselthaler said that the use of the pump needs anticoagulants to "make the thinner blood and prevent compounds", although it comes with a risk of uncontrollable internal bleeding. In this case, Wieselthaler told the magazine, blood leaving the heart to provide fresh oxygen in the circular system seems to be joined in the right bronchial, coated, and then was expelled from the patient in an embedded form:
Once Wieselthaler and his team carefully took care of the package and discarded it, they found that the architecture of the airways was retained so perfectly that they could identify it as the exact bronchial tree based only on the number of branches and their alignment.
Wieselthaler added this possible way that the cotton could be intact, rather than being broken, there was a high concentration of fibrinogen, a blood protein in blood plasma, which helps to form quail. The patient had an infection that both worsened the heart failure and possibly caused the incorporation of fibrinogen in the blood, resulting in more rubber cotton, he said to the Atlantic.
Woodard told the magazine that it was possible that the size of the cotton could actually contribute to its exposure, since it could enable the patient to "produce sufficient strength from the right side of his rooster to promote it." (Gizmodo reached Woodard to take some questions, and we will update this article, if we hear.)
Perhaps it seems a bit like rubbernecking to gawk on the product of some medical misfortune, but even most doctors may never have the right to see something like this. Although there are other conditions that can cause bronze calculations, including infections and asmatic conditions or limestone disorders, which can cause moco or fluid fluid structures respectively, Wieselthaler has been in fact that the size of this is almost unprecedented.
"We were astonished," Wieselthaler told the Atlantic. "There is curiosity that you can not imagine – I say, this is very very rare."[New England Journal of Medicine via the Atlantic]