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Performing Permanent Distal Middle Cerebral with Common Carotid Artery Occlusion in Aged Rats to Study Cortical Ischemia with Sustained Disability
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Delayed stroke after hospitalization for coronavirus disease 2019 pneumonia from common and internal carotid artery

Motahar Hosseini1, Sunny Sahajwani1, Jackie Zhang2

  • 1Division of Vascular Surgery, University of Maryland School of Medicine, Baltimore, Md.

Journal of Vascular Surgery Cases and Innovative Techniques
|November 17, 2020
PubMed

Insights

Coronavirus disease 2019 (COVID-19) can cause large vessel arterial thrombosis, leading to stroke. This case report details a delayed stroke from carotid artery thrombosis in a COVID-19 patient, successfully treated with antithrombotic medications.

Area of Science:

  • Neurology
  • Cardiology
  • Infectious Diseases

Background:

  • Large vessel arterial thrombosis is a known complication of COVID-19.
  • Extracranial carotid artery thrombosis can result in severe stroke among COVID-19 patients.

Observation:

  • A patient hospitalized for COVID-19 experienced a delayed stroke post-discharge.
  • The stroke was attributed to thrombosis of the right common carotid artery and internal carotid artery.

Findings:

  • The carotid artery thrombosis resolved with antithrombotic therapy.
  • No invasive procedures were required for treatment.

Implications:

  • COVID-19 presents with complex and varied manifestations.
  • This case illustrates a management approach for COVID-19-associated carotid artery thrombosis and stroke.

Keywords:
COVID-19Carotid arteryStrokeThromboembolismThrombosis

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