Concomitant acute limb ischemia and myocardial infarction: another challenge of COVID-19's hypercoagulability

Area of Science:

• Cardiology
• Infectious Diseases
• Vascular Surgery

Background:

• COVID-19 (SARS-CoV-2) is linked to thromboembolic events, with venous thrombosis being more documented.
• Arterial thrombosis is a less common but severe complication of COVID-19.

Observation:

• A 77-year-old COVID-19 patient presented with acute lower limb ischemia and myocardial infarction.
• This dual arterial event in a COVID-19 patient is extremely rare and indicative of hypercoagulability.

Findings:

• The patient underwent coronary angiography with stent placement, followed by thrombectomy for limb ischemia.
• Despite interventions, the patient experienced persistent cardiogenic shock, reperfusion syndrome, and multiorgan failure.

Implications:

• This case underscores the significant vascular risks associated with COVID-19, presenting a challenge for clinicians.
• Effective management strategies for concomitant arterial thrombosis and cardiac events in COVID-19 patients require further investigation.