Acute thrombosis of the right coronary artery in a patient with COVID-19

Beware of the Unexpected: Acute Coronary Thrombosis Following the Mildly Symptomatic COVID-19 Infection and Two Different Therapeutic Options

“…10,11 Indeed, previous reports revealed that COVID-19 can induce spontaneous coronary thrombosis, even in the absence of atheroma. 12 Therefore, in the context of severe coronary thrombus without atherosclerosis, a delayed stent strategy may also be preferable, considering stent implant only in cases where an obvious stenosis/culprit lesion has been identifi ed. Intracoronary low-dose thrombolysis, which is a safe and effective treatment, 13 may be an alternative treatment option in patients with COVID-19, STEMI, and massive thrombotic burden, as in our fi rst case.…”