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Left Ventricular Thrombus With COVID-19 Complication in a Patient With Dilated Cardiomyopathy

Shohei Imaeda1, Hiroki Kabata2, Yasuyuki Shiraishi1

  • 1Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.

CJC Open
|September 28, 2020
PubMed

Insights

Coronavirus disease 2019 (COVID-19) can cause arterial thrombosis, a rare complication. This case highlights a left ventricular thrombus in a COVID-19 patient with dilated cardiomyopathy, successfully treated with anticoagulation.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Thrombosis Research

Background:

  • Venous thromboembolism is a known complication of COVID-19.
  • Arterial thrombosis is less commonly reported in coronavirus disease 2019 patients.

Observation:

  • A patient with non-severe COVID-19 and dilated cardiomyopathy presented with improving clinical symptoms.
  • Despite clinical improvement, D-dimer levels progressively increased.
  • Diagnostic imaging revealed a left ventricular thrombus.

Findings:

  • The left ventricular thrombus in this COVID-19 case was successfully treated with anticoagulant therapy.
  • The patient experienced thrombus resolution and clinical recovery.
  • This case underscores the potential for rare arterial thrombotic events in COVID-19.

Implications:

  • Early diagnosis and appropriate management of left ventricular thrombus are crucial in COVID-19 patients, especially those with underlying cardiac conditions like dilated cardiomyopathy.
  • This case emphasizes the need for vigilant monitoring of thrombotic markers and diagnostic imaging in specific COVID-19 patient populations.
  • Further research into the mechanisms of arterial thrombosis in COVID-19 is warranted to improve patient outcomes.

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