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Pulmonary venous thrombosis in a patient with COVID-19 infection.
Pasha, Ahmed K; Rabinstein, Alejandro; McBane, Robert D.
  • Pasha AK; Vascular Division, Department of Cardiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
  • Rabinstein A; Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
  • McBane RD; Department of Neurology, Mayo Clinic, Rochester, MN, 55905, USA.
J Thromb Thrombolysis ; 51(4): 985-988, 2021 May.
Article in English | MEDLINE | ID: covidwho-1053058
Semantic information from SemMedBD (by NLM)
1. Pulmonary venous thrombosis PROCESS_OF Patients
Subject
Pulmonary venous thrombosis
Predicate
PROCESS_OF
Object
Patients
2. Complication AFFECTS Microcirculation
Subject
Complication
Predicate
AFFECTS
Object
Microcirculation
3. Pulmonary artery structure LOCATION_OF Thrombus
Subject
Pulmonary artery structure
Predicate
LOCATION_OF
Object
Thrombus
4. Lung LOCATION_OF Complication
Subject
Lung
Predicate
LOCATION_OF
Object
Complication
5. carotid internal LOCATION_OF Thrombus
Subject
carotid internal
Predicate
LOCATION_OF
Object
Thrombus
6. Arteries LOCATION_OF Embolis
Subject
Arteries
Predicate
LOCATION_OF
Object
Embolis
7. Pulmonary venous thrombosis PROCESS_OF Patients
Subject
Pulmonary venous thrombosis
Predicate
PROCESS_OF
Object
Patients
8. Complication AFFECTS Microcirculation
Subject
Complication
Predicate
AFFECTS
Object
Microcirculation
9. Pulmonary artery structure LOCATION_OF Thrombus
Subject
Pulmonary artery structure
Predicate
LOCATION_OF
Object
Thrombus
10. Lung LOCATION_OF Complication
Subject
Lung
Predicate
LOCATION_OF
Object
Complication
11. carotid internal LOCATION_OF Thrombus
Subject
carotid internal
Predicate
LOCATION_OF
Object
Thrombus
12. Arteries LOCATION_OF Embolism, Paradoxical
Subject
Arteries
Predicate
LOCATION_OF
Object
Embolism, Paradoxical
ABSTRACT

OBJECTIVES:

Infection with the SARS-COV2 virus (COVID-19) may be complicated by thrombotic diathesis. This complication often involves the pulmonary microcirculation. While macrovascular thrombotic complications of the lung may include pulmonary artery embolism, pulmonary artery thrombus in situ has also been hypothesized. Pulmonary vein thrombosis has not been described in this context. METHODS/

RESULTS:

Herein, we provide a case of an otherwise healthy male who developed an ischemic stroke with left internal carotid thrombus. Further imaging revealed pulmonary emboli with propagation through the pulmonary veins into the left atrium. This left atrial thrombus provides a source of atypical "paradoxic arterial embolism".

CONCLUSIONS:

Thrombotic outcomes in the setting of severe COVID 19 pneumonia may include macrovascular venous thromboembolism, microvascular pulmonary vascular thrombosis and arterial thromboembolism. Pulmonary vein, herein described, provides further mechanistic pathway for potential arterial embolic phenomenon.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pulmonary Embolism / Pulmonary Veno-Occlusive Disease / Carotid Artery Thrombosis / Ischemic Stroke / COVID-19 Type of study: Diagnostic study / Etiology study Limits: Humans / Male / Middle aged Language: English Journal: J Thromb Thrombolysis Journal subject: Vascular Diseases Year: 2021 Document Type: Article Affiliation country: S11239-021-02388-5

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pulmonary Embolism / Pulmonary Veno-Occlusive Disease / Carotid Artery Thrombosis / Ischemic Stroke / COVID-19 Type of study: Diagnostic study / Etiology study Limits: Humans / Male / Middle aged Language: English Journal: J Thromb Thrombolysis Journal subject: Vascular Diseases Year: 2021 Document Type: Article Affiliation country: S11239-021-02388-5