Multiple Sites of Arterial Thrombosis in A 35-Year Old Patient after ChAdOx1 (AstraZeneca) Vaccination, Requiring Emergent Femoral and Carotid Surgical Thrombectomy.
Ann Vasc Surg
; 79: 438.e1-438.e4, 2022 Feb.
Article
in English
| MEDLINE | ID: covidwho-1456980
ABSTRACT
BACKGROUND:
Vaccine Induced Thrombotic Thrombocytopenia (VITT) is a rare complication following ChAdOx1 (AstraZeneca) vaccination. Venous thrombosis in unusual sites such as splachnic or intracranial thrombosis, is the commonest manifestation. CASE REPORT We report a 35-year-old male patient who presented with acute left leg ischemia and thrombocytopenia 11-days after vaccination requiring emergent thrombectomy. During work-up, a localized thrombus was detected in the left carotid bifurcation mandating carotid thrombectomy. Localized right iliac thrombus causing a non-limiting flow stenosis was treated conservatively. The platelet aggregating capacity of patient's plasma was confirmed in a functional assay, thereby establishing VITT.CONCLUSION:
To the best of our knowledge this is the first case presenting multiple arterial thromboses requiring surgical treatment after ChAdOx1 vaccination.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Arterial Occlusive Diseases
/
Thrombosis
/
Carotid Artery Thrombosis
/
Vaccination
/
Thrombectomy
/
Femoral Artery
/
ChAdOx1 nCoV-19
Type of study:
Case report
/
Prognostic study
Topics:
Vaccines
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Ann Vasc Surg
Journal subject:
Vascular Diseases
Year:
2022
Document Type:
Article
Affiliation country:
J.avsg.2021.07.033
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