Multiple arterial thrombosis in a patient with COVID-19

Dias, Luís; Martins, José; Castro, Rui; Mesquita, Anabela

doi:10.1136/bcr-2021-244024

Cited by 4 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several cases of acute arterial limb thrombosis have been described, more commonly in lower extremities but also in upper limbs with a high probability of limb loss [5,14]. Low suspicion threshold, prompt diagnosis, and proper therapy initiation are the cornerstone of its correct management [15].…”

Section: Case Presentationmentioning

confidence: 99%

Acute Upper Limb Arterial Thrombosis: A Complication of COVID-19

2023

Ann Case Report

View full text Add to dashboard Cite

Presentation of COVID-19 ranges from asymptomatic/simple cold symptoms to an acute respiratory distress syndrome, requiring intubation. Several extra-respiratory complications have been described, with thromboembolic events being the most feared one. We describe a case of an unvaccinated man in his 60s who developed thrombotic occlusions of the left upper limb and mesenteric artery in the context of an acute COVID-19 infection, despite intermediate-dose thromboprophylaxis. CT angiogram showed complete occlusion of the left radial and cubital arteries with multiple thromboses in the aorta. Successful endovascular embolectomy via brachial artery was performed with favorable angiographic and clinical results. Awareness of COVID-19-associated arterial thrombosis risk is essential to rapidly recognize and treat this limb-threatening complication.

show abstract

Section: Case Presentationmentioning

confidence: 99%

Acute Upper Limb Arterial Thrombosis: A Complication of COVID-19

2023

Ann Case Report

View full text Add to dashboard Cite

show abstract

Alteplase/dexamethasone

2022

Reactions Weekly

View full text Add to dashboard Cite

Aortic arch thrombosis complicated by an embolic stroke in a patient with COVID-19: A case report

Al-Mashdali

Al-Dubai

Al-warqi

2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Introduction Aortic thrombosis is an uncommon condition with serious embolic complications. COVID-19 is currently recognized to be associated with both venous and arterial thrombosis. However, only a limited number of COVID-19 cases associated with aortic thrombosis have been reported in the literature since the beginning of the pandemic. Case presentation A 66-year-old lady was admitted to our hospital with acute ischemic stroke. Floating aortic arch thrombus was detected incidentally on CT imaging. Interestingly, the patient reported a history of fever and cough and was found to have COVID-19 pneumonia based on nasopharyngeal polymerase chain reaction (PCR) and imaging. The patient received three months of anticoagulant therapy, and repeated imaging study did not reveal any aortic thrombus. Clinical discussion COVID-19 related aortic thrombosis has been reported chiefly in severe cases. The SARS-CoV-2 can directly infect the endothelium of the vessels, which might explain the occurrence of arterial thrombosis in milder COVID-19 cases with the absence of the hyperinflammatory state. The management guideline for aortic thrombosis is scarce and based only on case reports and series. Conclusion Aortic thrombosis is a devastating condition that can be easily missed without clinical suspicion. Our patient developed acute ischemic stroke, most likely embolic originating from the aortic thrombus. The clinician should consider this condition in any COVID-19 patient presenting with thromboembolic events, such as stroke or acute limb ischemia. Further study is required to explain the pathophysiology of arterial/venous thrombosis in mild-moderate COVID-19 cases.

show abstract

Multiple arterial thrombosis in a patient with COVID-19

Cited by 4 publications

References 6 publications

Acute Upper Limb Arterial Thrombosis: A Complication of COVID-19

Acute Upper Limb Arterial Thrombosis: A Complication of COVID-19

Alteplase/dexamethasone

Aortic arch thrombosis complicated by an embolic stroke in a patient with COVID-19: A case report

Contact Info

Product

Resources

About