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Published on: December 19, 2020
Large tricuspid valve thrombus complicating COVID-19 pneumonia
Yasser A Kamal1, Shady E Al-Elwany1, Mostafa M Elsayed1
1Department of Cardiothoracic Surgery, Faculty of Medicine, Minia University, El-Minya, Egypt.
Background:
Hemostatic disturbances with coronavirus disease 2019 (COVID-19) can predispose to tricuspid and right heart thrombi in very rare instances.
Aim:
We describe a 29-year-old female patient without a previous cause of thrombosis who developed large tricuspid valve thrombus (TVT) and moderate-to-severe tricuspid regurgitation (TR) during the course of COVID-19 infection.
Materials And Methods:
Persistant fever and tachycardia with thrombocytopenia and high d-dimer increased the index of suspicion. The diagnosis was made by bedside transthoracic echocardiography (TTE) and cardiac magnetic resonance (CMR). Surgery was performed for thrombectomy and tricuspid valve replacement with a tissue valve.
Discussion And Conclusion:
Detection of TVT in COVID-19 patients on the basis of high index of suspicion, bedside TTE and noninvasive CMR helps early surgical treatment and subsequent reduction of mortality and hospital stay.
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