Free floating aorto-iliac thrombosis: A rare complication of COVID-19 pneumonia
Radiology Case Reports
; 18(1):410-415, 2023.
Article
in English
| Scopus | ID: covidwho-2241666
ABSTRACT
Arterial thrombosis encountered during sars-cov2 infections is a rare complication with a poor prognosis compared to venous ones. They generally occur in severe and critical clinical forms of covid19 [1,2]. The physiopathology of arterial thrombosis, even if not completely understood highlights hypercoagulability and excessive inflammation as risk factors with a major role of the endothelial lesions in their occurrence. The presence of cardiovascular risk factors in patients infected with covid19 is also discussed as a predisposing factor for arterial thrombosis [2,3]. We report the case of a North African male patient hospitalized for acute respiratory distress syndrome (ARDS) secondary to covid19 pneumonia, complicated by the occurrence of multiple arterial thrombosis of the aorto-iliac axis with the rare finding of two free floating thrombus in the aorta and the right common iliac artery. Clinically, the patient had developed acute bilateral lower limb ischemia and multi-organ failure and the evolution was dramatic with rapid worsening of the patient…s health and eventually his death. Thromboembolic complications are frequent during covid19 infection but the aortic localization is very rare. Its diagnosis is difficult and it has a poor prognosis. Our objective through this case report is to increase knowledge about arterial thromboembolic events while discussing their link to the sars-cov2 viral infection. © 2022
acetylsalicylic acid; C reactive protein; creatine kinase; creatinine; D dimer; enoxaparin; lactate dehydrogenase; metformin; noradrenalin; urea; abdominal aorta; adult; adult respiratory distress syndrome; artery occlusion; artery thrombosis; Article; cardiovascular risk factor; case report; clinical article; clinical examination; common iliac artery; computed tomographic angiography; coronavirus disease 2019; creatine kinase blood level; creatinine blood level; cyanosis; diabetes mellitus; diabetic ketoacidosis; diabetic patient; disease predisposition; drug dose increase; electrocardiogram; fatality; fibrinogen blood level; free floating aorto iliac thrombosis; general condition deterioration; Glasgow coma scale; hospital patient; human; intensive care unit; intubation; lactate dehydrogenase blood level; leg amputation; leg artery; leg ischemia; male; middle aged; multiple organ failure; noninvasive ventilation; North African; pathophysiology; platelet count; polymerase chain reaction; SARS-CoV-2 Delta; urea blood level; x-ray computed tomography; Aorta; covid19; Ischemia; Thrombosis
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Databases of international organizations
Database:
Scopus
Language:
English
Journal:
Radiology Case Reports
Year:
2023
Document Type:
Article
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