Acute Limb Ischemia Due to Arterial Thrombosis Associated With Coronavirus Disease 2019.
Crit Care Explor
; 2(6): e0140, 2020 Jun.
Article
in English
| MEDLINE | ID: covidwho-1795098
ABSTRACT
OBJECTIVES:
To describe a case of acute limb ischemia caused by arterial thrombosis due to coronavirus disease 2019.DESIGN:
Clinical observation of a patient.SETTING:
Academic medical center. PATIENT A 59-year-old female with history of hypertension, hyperlipidemia, and prior smoking. INTERVENTION Clinical observation and data extraction from electronic medical records. MEASUREMENTS AND MAINRESULTS:
We report a case of peripheral arterial thrombosis associated with coronavirus disease 2019, resulting in acute limb ischemia of the right lower extremity. This event was heralded by a sudden and significant elevation in d-dimer levels. At the time of surgery, a long, gelatinous clot was retrieved from the right popliteal artery. Perioperatively, she continued to have absent pedal Doppler signals and after multiple embolectomy attempts, required distal arterial cut down with removal of additional thrombi and resultant improvement of distal arterial flow.CONCLUSIONS:
This case demonstrates the importance of regularly checking d-dimer levels and vigilant monitoring for arterial thrombotic events, as they can rapidly become catastrophic.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Case report
/
Observational study
/
Prognostic study
/
Reviews
Language:
English
Journal:
Crit Care Explor
Year:
2020
Document Type:
Article
Affiliation country:
CCE.0000000000000140
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