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Post-COVID-19 Thoracic Aortic Rupture with an Unforeseen Spinal Epidural Hematoma

Kush R Lohani1, Vikram V Sannasi1, Harvinder R S Sidhu1

  • 1Division of Vascular Surgery, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore.

Aorta (Stamford, Conn.)
|February 27, 2023
PubMed

Insights

Prompt diagnosis and stenting are crucial for aortic rupture. This case highlights a thoracic aortic rupture following coronavirus disease 2019, complicated by spinal epidural hematoma.

Area of Science:

  • Cardiology
  • Neurology
  • Vascular Surgery

Background:

  • Aortic rupture is a life-threatening condition requiring immediate intervention.
  • Coronavirus disease 2019 (COVID-19) has been associated with various vascular complications.
  • Spinal epidural hematoma is a rare but serious neurological emergency.

Purpose of the Study:

  • To report a unique case of thoracic aortic rupture in a patient with recent COVID-19.
  • To discuss the diagnostic and management challenges of this complex presentation.
  • To highlight the potential association between COVID-19 and aortic emergencies.

Main Methods:

  • Case report presentation.
  • Review of clinical history, imaging, and treatment course.
  • Literature review on COVID-19 and aortic pathology.

Main Results:

  • A middle-aged male with recent COVID-19 developed a thoracic aortic rupture.
  • The aortic rupture was successfully managed with early stenting.
  • The patient subsequently developed an unexpected spinal epidural hematoma, requiring further intervention.

Conclusions:

  • This case underscores the critical need for timely diagnosis and intervention in aortic rupture.
  • COVID-19 may be a contributing factor to vascular events like aortic rupture.
  • The occurrence of spinal epidural hematoma warrants careful monitoring in patients with aortic emergencies.

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