case_images: PMC11829657_01
case_images: PMC11829657_02
case_images: CT PE with IV contrast showing occlusive mass in left main pulmonary artery
case_images: SJA-19-108-g001.jpg
case_images: PMC11829657_02_SJA-19-108-g001.jpg
case_images: sja.sja_380_24-F1
case_images: Chest CT showed no acute pulmonary embolism but redemonstration of occlusive mass in the left main pulmonary artery with a slight increase in size and absent distal arterial flow [Figure 1].
case_images: PMC11829657_03
case_images: Picture taken during bronchoscopy at level of the carina. Hemorrhage noted in both left and right mainstem bronchus. Following suction and irrigation, the source was found to be in the upper left lobe
case_images: SJA-19-108-g002.jpg
case_images: PMC11829657_03_SJA-19-108-g002.jpg
case_images: sja.sja_380_24-F2
case_images: The source of hemorrhage was found to be originating in the left upper lobe bronchus following suction and irrigation through fiberoptic bronchoscope [Figure 2].
case_images: Fiberoptic bronchoscope image at level of carina. "A" represents anterior aspect of trachea. 9 French Uniblocker in left mainstem bronchus just below level of carina
case_images: SJA-19-108-g003.jpg
case_images: PMC11829657_03_SJA-19-108-g003.jpg
case_images: sja.sja_380_24-F3
case_images: Seal was confirmed by bronchoscopy without evidence of air or blood leak around the cuff [Figure 3].
case_images: PMC11829657_04
case_images: Showing a 6.5g thrombus removed from left bronchus and distal branches during pulmonary endarterectomy
case_images: SJA-19-108-g004.jpg
case_images: PMC11829657_04_SJA-19-108-g004.jpg
case_images: sja.sja_380_24-F4
case_images: Two weeks following discharge, the patient underwent a pulmonary endarterectomy, where a 6.5 g thrombus was removed from the left bronchus and distal branches [Figure 4].