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Subacute dual stent thromboses in a COVID-19-positive patient

Jacques Liebenberg1, Thadathilankal-Jess John1, Hoosain Khalfey2

  • 1Division of Cardiology, Stellenbosch University, Cape Town, South Africa.

Cardiovascular Journal of Africa
|March 25, 2022
PubMed

Insights

The COVID-19 virus causes blood clots, leading to unusual thrombosis. This case highlights dual coronary stent thrombosis in a COVID-19 patient, with management recommendations discussed.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Hematology

Background:

  • COVID-19 is associated with a hypercoagulable state.
  • This hypercoagulability increases the risk of venous and arterial thrombotic events.
  • Coronary stent thrombosis is a serious complication following percutaneous coronary intervention.

Observation:

  • A case of subacute dual coronary stent thrombosis is presented.
  • The thrombosis occurred in the setting of active COVID-19 infection.
  • This represents an unusual presentation of thrombotic complications in COVID-19.

Findings:

  • The patient experienced subacute thrombosis of two coronary stents.
  • COVID-19 infection was identified as a potential contributing factor to the hypercoagulable state.
  • The case underscores the prothrombotic potential of SARS-CoV-2.

Implications:

  • Early recognition and management of thrombotic events in COVID-19 patients are crucial.
  • Current management strategies for stent thrombosis may need adaptation in the context of COVID-19.
  • Further research is warranted to understand and mitigate the thrombotic risks associated with COVID-19.

Keywords:
COVID‐19STEMIST‐elevation myocardial infarctionsubacute stent thrombosis

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