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Successful treatment of ascending aortic thrombosis associated with coronavirus disease 2019: Case report

Norihisa Miyawaki1, Makoto Kinoshita1, Yutaka Furukawa1

  • 1Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.

Journal of Cardiology Cases
|July 6, 2022
PubMed

Insights

Anticoagulant therapy effectively treated arterial thrombosis in a COVID-19 patient, resolving aortic thrombi and limb artery occlusion. Follow-up imaging confirmed thrombus disappearance, suggesting this approach for similar cases.

Area of Science:

  • Cardiovascular Medicine
  • Infectious Diseases
  • Hematology

Background:

  • COVID-19 is linked to both arterial and venous thrombosis.
  • Established treatment protocols for aortic thrombosis in COVID-19 patients are lacking.

Observation:

  • A 59-year-old male with COVID-19 presented with ascending aorta thrombus and lower limb artery occlusion.
  • Computed tomography confirmed the presence of thrombi.

Findings:

  • Anticoagulant therapy, initially with heparin then warfarin, was administered.
  • Thrombus resolution was observed by day 20 of treatment.
  • Follow-up CT angiography at 3 months showed no recurrence.

Implications:

  • Anticoagulants alone may be a viable treatment for arterial thrombosis in COVID-19.
  • Serial computed tomography can monitor thrombus resolution and guide early discontinuation of therapy.

Keywords:
Anticoagulant therapyComputed tomographyLower limb arterial occlusion

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