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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
08:05

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia

Published on: December 19, 2020

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Multiorgan thrombosis as a complication of COVID-19 pneumonia

Etienne Ceci Bonello1, Ramon Casha2, Thelma Xerri2

  • 1General Medicine, Mater Dei Hospital, Msida, Malta etienne.ceci@gov.mt.

BMJ Case Reports
|July 29, 2021
PubMed

Insights

A COVID-19 patient developed severe cardiac and neurological complications, including a left ventricular mural thrombus causing multiple infarcts. Surgical removal of the thrombus was successful, leading to patient recovery and discharge.

Area of Science:

  • Cardiology
  • Neurology
  • Infectious Diseases

Background:

  • COVID-19 pneumonia can lead to severe systemic complications.
  • Acute coronary syndrome (ACS) and myocarditis are potential cardiac manifestations of SARS-CoV-2 infection.

Observation:

  • A 47-year-old male with COVID-19 pneumonia developed ACS and myocarditis.
  • Neurological complications, including large temporal and occipital lobe infarcts, were confirmed via brain MRI.
  • Echocardiogram revealed a left ventricular mural thrombus, identified as the cause of neurological infarcts.

Findings:

  • The patient experienced multiple organ infarctions (brain, kidneys, spleen) and arterial thromboses (superior mesenteric, left femoral).
  • Surgical excision of the left ventricular mural thrombus was performed successfully under general anesthesia.
  • Post-surgery, the patient demonstrated recovery and was discharged to a rehabilitation facility.

Implications:

  • This case highlights the potential for SARS-CoV-2 to cause extensive thromboembolic events beyond the lungs.
  • Left ventricular mural thrombus formation is a critical complication of severe COVID-19, necessitating prompt diagnosis and management.
  • Multidisciplinary management involving cardiology, neurology, and cardiothoracic surgery is crucial for patients with complex COVID-19-related thromboembolic complications.
Keywords:
COVID-19cardiothoracic surgerycardiovascular medicineneurology

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