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Coronary artery thrombus resulting in ST-elevation myocardial infarction in a patient with COVID-19.
Green, Clara; Nadir, Adnan; Lester, Will; Dosanjh, Davinder.
  • Green C; Respiratory Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK clara.green@nhs.net.
  • Nadir A; Cardiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Lester W; Haematology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Dosanjh D; Respiratory Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
BMJ Case Rep ; 14(8)2021 Aug 25.
Article in English | MEDLINE | ID: covidwho-1373950
ABSTRACT
COVID-19 is a prothrombotic condition that is also associated with raised troponin levels and myocardial damage. We present a case of a 54-year-old man who was admitted with respiratory failure due to COVID-19 and developed a ST-elevation myocardial infarction (STEMI) during his admission. His coronary angiogram did not show any significant coronary artery disease other than a heavily thrombosed right coronary artery. In view of heavy thrombus burden, the right coronary artery was treated with thrombus retrieval using a distal embolic protection device in addition to manual thrombectomy and direct (intracoronary) thrombolysis without the need for implantation of a coronary stent. After successful revascularisation, triple antithrombotic therapy was instituted with an oral anticoagulant in addition to dual antiplatelets. This case illustrates the association of COVID-19 with coronary artery thrombosis, which may require disparate management of a STEMI than that resulting from atherosclerotic coronary artery disease.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coronary Thrombosis / ST Elevation Myocardial Infarction / COVID-19 / Myocardial Infarction Type of study: Case report Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-243811

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coronary Thrombosis / ST Elevation Myocardial Infarction / COVID-19 / Myocardial Infarction Type of study: Case report Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-243811