case_images: PMC9561465_01
case_images: Chest x-ray at the time of hemoptysis.
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case_images: PMC9561465_01_fcvm-09-997990-g0001.jpg
case_images: F1
case_images: His chest x-ray demonstrated bilateral opacifications (Figure 1).
case_images: Bronchoscopy reveals massive hemoptysis.
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case_images: PMC9561465_01_fcvm-09-997990-g0002.jpg
case_images: F2
case_images: Despite the evacuation of more than 500 cc of blood under bronchoscopy, there was continued hemorrhage from both main bronchi (Figure 2).
case_images: Tracheostomy tube was removed, and direct suction was performed from tracheal stoma using Yankauer catheter.
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case_images: F3
case_images: A direct suction was then attempted, inserting a Yankauer suction catheter into the trachea via the tracheostomy stoma (Figure 3).
case_images: Chest x-ray off ventilator support.
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case_images: F4
case_images: Though active hemorrhage had ceased during this time of mechanical ventilation, the patient's chest x-ray continued to exhibit bilateral opacification (Figure 4).
case_images: Chest x-ray 2 days after resuming ventilator.
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case_images: F5
case_images: This process was continued daily until all visible clot was removed and chest x-ray demonstrated decreased opacification (Figure 5).
case_images: Chest x-ray 4 days after resuming ventilator.
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case_images: PMC9561465_01_fcvm-09-997990-g0006.jpg
case_images: F6
case_images: Over time, chest x-ray findings improved on these ventilator settings, with TV ~50cc (Figure 6).
case_images: Chest x-ray after ECMO decannulation.
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case_images: F7
case_images: With significant radiographic improvement (Figure 7), VV ECMO was successfully decannulated at the bedside on hospital day #37 (VV ECMO day #30).