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Published on: August 11, 2023
Multiple Arterial Thrombosis after COVID-19: A Case Report.
Ferhat Borulu1, Gökhan Ceyhun2, Eyüp Serhat Çalik3
1Department of Cardiovascular Surgery, Ordu University Medical Faculty, Ordu, Turkey.
Severe COVID-19 can cause dangerous blood clots long after infection. This case highlights persistent hypercoagulability, leading to critical ischemia in a patient weeks after recovery.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Cardiology
Background:
- Reports indicate increased hypercoagulability during acute severe acute respiratory syndrome Coronavirus 2 (COVID-19) infection.
- The prothrombotic state post-COVID-19 may persist beyond the acute illness phase.
Observation:
- A 63-year-old female presented with acute mesenteric ischemia due to celiac trunk and superior mesenteric artery thrombi.
- The patient also experienced acute lower extremity ischemia from iliac bifurcation saddle embolism and left external iliac artery thrombosis.
- These thrombotic events occurred 20 days after intensive care unit discharge for COVID-19-related pneumonia and pulmonary embolism.
Findings:
- The patient underwent surgical thrombectomy for aortoiliac thrombosis.
- Mesenteric thrombosis was treated with percutaneous endovascular intervention.
- This case demonstrates a prolonged prothrombotic state following COVID-19.
Implications:
- Highlights the potential for delayed, severe thrombotic complications after COVID-19.
- Emphasizes the need for vigilance regarding persistent hypercoagulability in post-COVID-19 patients.
- Suggests extended monitoring for vascular complications in individuals recovering from severe COVID-19.
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