PT - JOURNAL ARTICLE AU - P Foucher AU - M Merati AU - N Baudouin AU - O Reybet-Degat AU - P Camus AU - L Jeannin TI - Fatal ball-valve airway obstruction by an extensive blood clot during mechanical ventilation AID - 10.1183/09031936.96.09102181 DP - 1996 Oct 01 TA - European Respiratory Journal PG - 2181--2182 VI - 9 IP - 10 4099 - http://erj.ersjournals.com/content/9/10/2181.short 4100 - http://erj.ersjournals.com/content/9/10/2181.full SO - Eur Respir J1996 Oct 01; 9 AB - A ball-valve airway obstruction by a blood clot cast of almost the whole bronchial tree occurred in a small-cell lung cancer patient, who had been on mechanical ventilation for 9 days. Chest radiographs revealed overinflated lungs. Attempts to remove the cast via fibreoptic bronchoscopy were unsuccessful and the patient died. A postmortem extraction of the clot was performed with a rigid tube. This case is rare because of absence of severe haemoptysis and lung volume reduction.