Multiple Arterial Thrombosis in a 78-Year-Old Patient: Catastrophic Thrombotic Syndrome in COVID-19

David Kenizou1, Clemence Perrin1, Ines Harzallah2

  • 1Cardiology Department, Mulhouse Region/South of Alsace Hospital, Hôpital E. Muller, Mulhouse, France.

CJC Open
|October 7, 2020
PubMed

Insights

This case report details a patient with coronavirus disease 2019 (COVID-19) who developed severe arterial thrombosis. The findings suggest COVID-19 can trigger significant endothelial activation leading to catastrophic thrombotic events.

Area of Science:

  • Cardiovascular Medicine
  • Infectious Diseases
  • Pathology

Background:

  • Coronavirus disease 2019 (COVID-19) is a global pandemic with diverse clinical manifestations.
  • Vascular complications, including thrombosis, have been reported in COVID-19 patients.
  • Endothelial dysfunction is increasingly recognized as a key mechanism in COVID-19 pathogenesis.

Observation:

  • A patient admitted for COVID-19 developed multiple, widespread arterial thromboses on day 9 of hospitalization.
  • Thrombotic events occurred in the aorta, renal arteries, humeral arteries, and pulmonary arteries.
  • Comprehensive laboratory workup revealed no pre-existing prothrombotic conditions.

Findings:

  • The patient presented with an extreme form of catastrophic thrombotic syndrome.
  • The absence of underlying prothrombotic disease points towards an acquired cause.
  • Severe arterial thrombosis was strongly associated with COVID-19 infection.

Implications:

  • This case highlights the potential for COVID-19 to induce severe arterial thrombosis through intense endothelial activation.
  • Understanding COVID-19-associated endothelial dysfunction is critical for managing vascular complications.
  • Further research is needed to elucidate the mechanisms linking COVID-19 to arterial thrombosis.

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