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Published on: December 19, 2020
Pulmonary Vein Thrombosis in COVID-19
Stephanie A Goddard1, Daniel Q Tran1, Michael F Chan1
1Department of Radiology, Tulane University Health Sciences Center, New Orleans, LA.
COVID-19 can cause hypercoagulability, leading to rare pulmonary venous thrombosis. This case highlights an uncommon COVID-19 complication, urging increased clinical suspicion for pulmonary venous thromboembolism during hospitalization.
Area of Science:
- Pulmonology
- Cardiovascular Medicine
- Infectious Diseases
Background:
- COVID-19 is associated with a hypercoagulable state.
- Pulmonary venous thrombosis is an underreported complication of COVID-19.
- Early identification of venous thromboembolism is critical for patient outcomes.
Observation:
- A patient with COVID-19 developed an expansile filling defect in a right inferior pulmonary vein branch.
- Diagnosis was confirmed via follow-up chest CT scans.
- This finding suggests pulmonary venous thrombosis as a potential sequela of SARS-CoV-2 infection.
Findings:
- The case demonstrates pulmonary venous thrombosis in a COVID-19 patient.
- This highlights an uncommon but significant thrombotic event.
- Pulmonary venous thrombosis can occur despite anticoagulation therapy.
Implications:
- Increased clinical suspicion for pulmonary venous thrombosis in COVID-19 patients is warranted.
- Further research is needed to understand the incidence and mechanisms of pulmonary venous thrombosis in COVID-19.
- Prompt diagnosis and management of pulmonary venous thrombosis may improve patient prognosis during COVID-19 hospitalization.
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