RESUMEN
After recovering from severe COVID-19 infection, 2 women presented with chest pain. Computed tomographic angiography suggested acute ascending aortic dissection. At operation in both patients, the ascending aorta was encased in dense fibrous tissue, within which were focal collections of mononuclear cells, including many plasma cells. There was no entry tear or dissection. Such findings we have not encountered previously, and PubMed search of "periaortic fibrosis and COVID-19" yielded no similar cases or possible relation.
Asunto(s)
Aneurisma de la Aorta Torácica , Disección Aórtica , COVID-19 , Humanos , Femenino , COVID-19/complicaciones , Disección Aórtica/complicaciones , Disección Aórtica/diagnóstico , Aorta/diagnóstico por imagen , Aorta/cirugía , Angiografía por Tomografía Computarizada , Fibrosis , Aneurisma de la Aorta Torácica/cirugíaRESUMEN
Coronavirus disease 2019 (COVID-19) initiates a hypercoagulable state and causes thrombotic complications. A presentation of multiple thromboembolic events without an underlying source should raise suspicion for COVID-19 hypercoagulability. We describe a patient with an ascending aortic thrombus resulting in multiple emboli treated by multiple modalities.