Biventricular Thrombi Associated With Myocardial Infarction in a Patient With COVID-19.

Soltani, Marwa; Mansour, Samer

Soltani, Marwa; Mansour, Samer.

Soltani M; Division of Cardiology, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada.
Mansour S; Division of Cardiology, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada. Electronic address: samer.mansour@sympatico.ca.

Can J Cardiol ; 36(8): 1326.e9-1326.e11, 2020 08.

Article in English | MEDLINE | ID: covidwho-620915

ABSTRACT

ABSTRACT

A wide spectrum of cardiovascular manifestations has been documented in patients suffering from coronavirus disease-2019 (COVID-19). Usually associated with a poor prognoses, these manifestations include thromboembolic events, acute coronary syndrome, heart failure, and cardiogenic shock. We describe a patient with COVID-19 who presented with subacute myocardial infarction, biventricular thrombi, and bilateral pulmonary emboli. Biventricular thrombi are rare, and their presence raises concern for an underlying prothrombotic condition.

Subject(s)

Betacoronavirus/isolation & purification; Coronavirus Infections; Heart Aneurysm; Heart Ventricles; Pandemics; Pneumonia, Viral; Pulmonary Embolism; ST Elevation Myocardial Infarction; Thrombosis; Anticoagulants/administration & dosage; COVID-19; Cardiopulmonary Resuscitation/methods; Clinical Deterioration; Coronary Angiography/methods; Coronavirus Infections/complications; Coronavirus Infections/diagnosis; Coronavirus Infections/physiopathology; Fatal Outcome; Female; Heart Aneurysm/diagnosis; Heart Aneurysm/etiology; Heart Arrest/etiology; Heart Arrest/therapy; Heart Ventricles/diagnostic imaging; Heart Ventricles/pathology; Humans; Middle Aged; Pneumonia, Viral/complications; Pneumonia, Viral/diagnosis; Pneumonia, Viral/physiopathology; Pulmonary Embolism/diagnosis; Pulmonary Embolism/etiology; SARS-CoV-2; ST Elevation Myocardial Infarction/diagnosis; ST Elevation Myocardial Infarction/physiopathology; ST Elevation Myocardial Infarction/therapy; Thrombosis/diagnosis; Thrombosis/drug therapy; Thrombosis/etiology; Tomography, X-Ray Computed/methods; Ventricular Dysfunction, Left/diagnosis; Ventricular Dysfunction, Left/etiology

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pulmonary Embolism / Thrombosis / Coronavirus Infections / Pandemics / ST Elevation Myocardial Infarction / Betacoronavirus / Heart Aneurysm / Heart Ventricles Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Language: English Journal: Can J Cardiol Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: J.cjca.2020.06.016

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