It is now admitted that Coronavirus is related to vascular complications especially thrombotic ones. Mechanism of thrombotic complications is not fully understood.
Free-floating carotid thrombus is a rare condition and it has been found in numerous cases of COVID-19 patients.
Data related to management of this floating clot is limited. Anticoagulation remains an important pillar of treatment.
We report is this work, a case of a 59-year-old male, hospitalized twice for management of COVID-19 infection in January and March 2021. A free-floating carotid thrombus was discovered and a medical treatment was initiated.
Pseudo-aneurysm are due to arterial wall disruption leading to the formation of a perfused sac that communicates with the arterial lumen. This entity remains at highly significant risk of rupture. The majority of cases are presenting as haemothorax.Intercostal artery pseudo-aneurysms are extremely rare, most of them were associated with surgical interventions or blunt thoracic trauma, only one case was reported after a knife stabbing wound.We describe the case of a young male patient who was stabbed with a knife in his posterior left chest side and was first operated to evacuate a contained hematoma only to re-consult after 20 days for a pulsatile mass which proved to be an intercostal artery pseudo-aneurysm. The patient was successfully surgically managed and was discharged 4 days after the surgery.
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