COVID-19 related thrombi in ascending and descending thoracic aorta with peripheral embolization: a case report.

ABSTRACT:

Background

COVID-19 (severe acute respiratory syndrome coronavirus 2) infected patients have increased risk for thrombotic events, which initially may have been under recognized. The existence of cardiovascular emboli can be directly life threatening when obstructing the blood flow to vital organs such as the brain or other parts of the body. The exact mechanism for this hypercoagulable state in COVID-19 patients yet remains to be elucidated.

Case summary

A 72-year-old man critically ill with COVID-19 was diagnosed with a free-floating and mural thrombus in the thoracic aorta. Subsequent distal embolization to the limbs led to ischaemia and necrosis of the right foot. Treatment with heparin and anticoagulants reduced thrombus load in the ascending and thoracic aorta.

Disc

SUBMITTER: Buikema JW 

PROVIDER: S-EPMC7859600 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature