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Unusual intracardiac thrombosis in two patients with coronavirus disease 2019 (COVID-19): case series.
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ABSTRACT: Background
COVID-19 may induce a coagulation dysregulation resulting in a prothrombotic state with a higher risk of arterial and venous thrombosis. This abnormal thrombotic diathesis can lead to pulmonary embolism, stroke, and intracardiac thrombosis.Case summary
We present two cases of unusual intracardiac thrombosis in patients hospitalized for COVID-19. In both cases, imaging tests (such as transthoracic echocardiography (TTE), computed tomography scan of the chest, and cardiac magnetic resonance imaging) showed evidence of unusual intracardiac thrombosis with thrombi adherent to regularly contracting walls.Discussion
This evidence confirms that COVID-19 induces a hypercoagulable state which can result in intracardiac thrombosis. Therefore, TTE is indicated in all COVID-19 patients for early diagnosis, and prompt anticoagulant therapy is to be considered as a thromboprophylaxis strategy.
SUBMITTER: Calvi E
PROVIDER: S-EPMC7953950 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
Publications
Unusual intracardiac thrombosis in two patients with coronavirus disease 2019 (COVID-19): case series.
European heart journal. Case reports 20201229 2
<h4>Background</h4>COVID-19 may induce a coagulation dysregulation resulting in a prothrombotic state with a higher risk of arterial and venous thrombosis. This abnormal thrombotic diathesis can lead to pulmonary embolism, stroke, and intracardiac thrombosis.<h4>Case summary</h4>We present two cases of unusual intracardiac thrombosis in patients hospitalized for COVID-19. In both cases, imaging tests (such as transthoracic echocardiography (TTE), computed tomography scan of the chest, and cardia ...[more]
