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Severe Aortic Thrombosis in the Early Period after COVID-19: Two Cases
Ferhat Borulu1, Bilgehan Erkut1
1Atatürk University Faculty of Medicine, Department of Cardiovascular Surgery, Erzurum, Turkey.
Insights
Acute aortic thrombosis is a rare but fatal condition. This report details two cases of acute aortic thrombosis potentially linked to Coronavirus disease 2019 (COVID-19) vascular complications.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Vascular Surgery
Background:
- A total aortic occlusion is a rare vascular emergency with high mortality.
- Coronavirus disease 2019 (COVID-19) is associated with significant vascular complications, including thrombotic events.
- While venous thrombosis is reported in COVID-19, arterial thrombosis, particularly aortic thrombosis, is exceptionally rare.
Observation:
- Two patients presented with acute aortic thrombosis.
- Both patients had experienced recent Coronavirus disease 2019 (COVID-19) infection.
- Inflammatory responses to viral infections can disrupt coagulation pathways.
Findings:
- The cases highlight a potential, albeit rare, link between COVID-19 and acute aortic thrombosis.
- This suggests viral infections may precipitate arterial thrombotic events beyond the venous system.
- The presented cases underscore the critical need to consider vascular complications in COVID-19 patients.
Implications:
- Increased awareness of arterial thrombosis as a potential COVID-19 complication is warranted.
- Further research is needed to elucidate the mechanisms linking viral infections to aortic thrombosis.
- Prompt diagnosis and management of acute aortic thrombosis in COVID-19 patients may improve outcomes.
Abstract:
A total occlusion of the aorta is a rare condition; however, while rare, it has a very high mortality rate. Coronavirus disease 2019 (COVID-19) poses serious health problems, including vascular problems. Inflammatory changes produced by viral infections can cause serious disturbances in the coagulation system. Although cases showing a marked increase in thrombotic activity in the venous system have been presented, thrombosis in the arterial system, especially in the aorta, has rarely been reported. Here, we present 2 patients admitted to our hospital with an acute aortic thrombosis.
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