Right atrial thrombus in a patient with COVID-19 pneumonia: a case report.

ABSTRACT:

Background

Significant coagulopathy and hyperinflammation are found in patients with coronavirus disease 2019 (COVID-19). Expert consensus has recommended prophylactic anticoagulation in COVID-19 patients due to the risk of thrombo-embolism. However, the use of therapeutic anticoagulation in these patients is still a matter of debate.

Case summary

We describe a patient with COVID-19 pneumonia and a clinical hyperinflammatory state. He developed early respiratory depression and required ventilation, and he subsequently developed haemodynamic instability. Point-of-care echocardiography demonstrated a right atrial thrombus and right ventricular dysfunction suggestive of acute massive pulmonary embolism. He was managed with veno-arterial extracorporeal membrane oxygenation and l

SUBMITTER: Shamsah MA 

PROVIDER: S-EPMC7499658 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature