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Eur J Cardiothorac Surg 2005;28:490
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

Blood clot cast of the bronchial tree

Aman Coonar *

Cardiothoracic Surgery, 6th Floor East Wing, Lambeth Palace Road, St. Thomas' Hospital, London SE1 7EH, UK

Received 10 November 2004; accepted 28 February 2005.

* Fax: +44 207 188 1006. (Email: aman.coonar{at}gstt.sthames.nhs.uk).

Key Words: Haemoptysis • Airway obstruction • Physiotherapy • Bronchial cast

A 25-year-old pregnant woman developed a coagulopathy and haemoptysis. She expectorated a plug of reddish semi-solid material which was placed in normal saline. This showed a cast of the bronchial tree (Fig. 1 ). The patient went on to recover fully, and delivered a healthy child at term.



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  		Fig. 1. Blood clot cast of part of the bronchial tree.

 





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