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Multiple cardiovascular complications of COVID-19 infection in a young patient: a case report

Hammam Rasras1, Abdelaziz Boudihi1, Anass Hbali1

  • 1Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Oujda, Morocco.

The Pan African Medical Journal
|May 17, 2021
PubMed

Insights

This case report highlights severe cardiovascular complications of COVID-19, including myocarditis and left ventricular thrombosis. These led to cardiogenic shock and limb ischemia in a young patient.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • COVID-19 is associated with significant morbidity and mortality.
  • Cardiovascular complications are among the most severe sequelae of SARS-CoV-2 infection.
  • Myocarditis, ventricular dysfunction, and thrombosis are recognized COVID-19 complications.

Observation:

  • A young woman with no prior medical history presented with COVID-19.
  • She developed severe myocarditis, leading to profound left ventricular dysfunction and cardiogenic shock.
  • A large left ventricular thrombus formed, causing acute limb ischemia and deep vein thrombosis.

Findings:

  • The patient experienced a rare but severe presentation of COVID-19.
  • Left ventricular thrombosis secondary to myocarditis was a critical complication.
  • The thrombosis led to significant vascular compromise in both lower limbs.

Implications:

  • This case underscores the potential for severe cardiac and vascular events post-COVID-19, even in young individuals.
  • Early recognition and management of cardiac complications are crucial in COVID-19 patients.
  • Further research into the mechanisms of COVID-19-induced thrombosis is warranted.

Keywords:
COVID-19cardiogenic shockcase reportmyocarditisthrombosis

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