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BMJ Case Rep ; 14(1)2021 Jan 26.
Article in English | MEDLINE | ID: covidwho-1050384

ABSTRACT

We describe the case of a healthy patient with moderate COVID-19 infection without thrombophilia nor coronary disease background who presented with a relapsing thrombotic occlusion of the right coronary artery despite normal oxygenation, adequate antiaggregation and prophylactic anticoagulation. Prophylactic anticoagulation recommendations in COVID-19 were inadequate for this patient. Further data are needed to propose full-dose therapeutic anticoagulation for patients with coronary thrombosis and COVID-19 infection. This could nevertheless be considered even in mild forms of COVID-19.


Subject(s)
COVID-19/complications , Coronary Occlusion/etiology , Coronary Thrombosis/etiology , Anticoagulants/therapeutic use , COVID-19/physiopathology , Computed Tomography Angiography , Coronary Angiography , Coronary Occlusion/diagnostic imaging , Coronary Occlusion/prevention & control , Coronary Thrombosis/diagnostic imaging , Coronary Thrombosis/prevention & control , Humans , Male , Middle Aged , Recurrence , SARS-CoV-2 , COVID-19 Drug Treatment
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