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Intramural Hematoma as Unexpected Complication of COVID-19 Infection

Francesca Terzi1, Mariano Cefarelli2, Rossella Fattori3

  • 1Cardiology Unit, Azienda Ospedaliera Ospedali Riuniti Marche Nord, Pesaro, Italy.

Aorta (Stamford, Conn.)
|June 5, 2020
PubMed

Insights

Novel coronavirus disease-2019 (COVID-19) can cause severe cardiovascular issues. This case highlights a COVID-19 patient who experienced acute aortic syndrome, specifically an aortic intramural hematoma, demonstrating the disease

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • Novel coronavirus disease-2019 (COVID-19) is a severe infectious disease impacting multiple organ systems.
  • COVID-19 is linked to diverse cardiovascular complications, including vascular damage, myocardial injury, stroke, and pulmonary obstruction, often stemming from inflammatory and immune responses.

Purpose of the Study:

  • To report a rare case of acute aortic syndrome in a patient with COVID-19 infection.
  • To describe the specific presentation of aortic intramural hematoma in the context of COVID-19.

Main Methods:

  • Case report of a patient diagnosed with COVID-19.
  • Clinical and imaging data review for diagnosis of acute aortic syndrome and aortic intramural hematoma.

Main Results:

  • The patient with COVID-19 infection developed acute aortic syndrome.
  • The syndrome presented with characteristics consistent with an aortic intramural hematoma.

Conclusions:

  • COVID-19 infection can lead to serious cardiovascular events beyond typical complications.
  • Acute aortic syndrome, including aortic intramural hematoma, should be considered in patients with COVID-19 presenting with relevant symptoms.

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