COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis.
BMJ Case Rep
; 13(8)2020 Aug 03.
Article
in English
| MEDLINE | ID: covidwho-693991
ABSTRACT
We describe a patient with COVID-19 who developed simultaneous pulmonary, intracardiac and peripheral arterial thrombosis. A 58-year-old man, without major comorbidity, was admitted with a 14-day history of breathlessness. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection was confirmed by laboratory testing. Initial imaging revealed COVID-19 pneumonia but no pulmonary thromboembolism (PTE) on CT pulmonary angiography (CTPA). The patient subsequently developed respiratory failure and left foot ischaemia associated with a rising D-dimer. Repeat CTPA and lower limb CT angiography revealed simultaneous bilateral PTE, biventricular cardiac thrombi and bilateral lower limb arterial occlusions. This case highlights a broad range of vascular sequalae associated with COVID-19 and the fact that these can occur despite a combination of prophylactic and treatment dose anticoagulation.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Pulmonary Embolism
/
Thrombosis
/
Warfarin
/
Enoxaparin
/
Coronavirus Infections
/
Peripheral Arterial Disease
/
Pandemics
/
Heart Diseases
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
Topics:
Long Covid
Language:
English
Year:
2020
Document Type:
Article
Affiliation country:
Bcr-2020-237460
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