Netherlands Heart Journal

, Volume 26, Issue 6, pp 361–361 | Cite as

Cough up your lungs

  • L. A. J. Rammeloo
  • N. A. Blom
Open Access
Image Puzzle – Question


After a frightening coughing episode, a 5-year-old boy with a congenital heart condition expectorated what is shown in the image sent by his father (Fig. 1). He had no fever or signs of chest infection. What is your diagnosis?
Fig. 1

A picture sent by the father showing a expectorated product with a 5 € Cent coin (20 mm) as a size reference


You will find the answer elsewhere in this issue.

Copyright information

© The Author(s) 2018

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Authors and Affiliations

  1. 1.Department of Paediatric CardiologyVU University Medical CenterAmsterdamThe Netherlands
  2. 2.Department of Paediatric CardiologyLeiden University Medical CenterLeidenThe Netherlands

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