RESUMO
As the COVID-19 pandemic continues, its novel complications are being increasingly recognized, and new mechanisms of the disease are being unraveled. Aortic free-floating thrombus is exceptionally rare, and prompt diagnosis is vital to alleviate its detrimental end organ effects. We present a patient who was previously discharged owing to COVID-19 pneumonia, admitted with acute onset of lower limb pain, and was diagnosed with aortic free-floating thrombus ended up with embolic events. Clinicians should be aware of COVID-19-related thromboembolic complications, and close monitoring of patients with risk factors is vital for a timely and accurate diagnosis and management.
Assuntos
COVID-19/complicações , Infarto/etiologia , Isquemia/etiologia , Rim/irrigação sanguínea , Extremidade Inferior/irrigação sanguínea , Tromboembolia/etiologia , Doenças da Aorta/diagnóstico , Doenças da Aorta/etiologia , Humanos , Infarto/diagnóstico , Isquemia/diagnóstico , Masculino , Pessoa de Meia-Idade , SARS-CoV-2 , Tromboembolia/diagnóstico , Trombose/diagnóstico , Trombose/etiologiaRESUMO
We present a case with cardiac metastasis of the great saphenous vein leiomyosarcoma (LMS) that presented to the emergency department with dyspnea and palpitations 2 months ago. In this patient, hemodynamic instability was caused by an extensive right ventricular cavity and outflow tract invasion of the LMS. Treatment of the patient included incomplete mass resection, adjuvant chemotherapy, and permanent pacemaker implantation (due to postoperative complete atrio-ventricular block).
