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A Rare Case of Arterial and Venous Thrombosis in COVID-19

Shekhar Bhatta1, Elina Shrestha2, Asmita Sigdel3

  • 1Internal Medicine, BronxCare Health System, Bronx, USA.

Cureus
|December 25, 2023
PubMed

Insights

This case study details a rare instance of extensive thrombosis, including deep vein thrombosis, pulmonary embolism, and aortic thrombus, in a COVID-19 patient. It underscores the critical need for vigilant monitoring and management of thrombotic risks in individuals with coronavirus disease 2019.

Area of Science:

  • Cardiovascular Medicine
  • Infectious Diseases
  • Hematology

Background:

  • The COVID-19 pandemic has revealed a heightened risk of thrombotic events in infected patients.
  • Understanding the prothrombotic mechanisms in COVID-19 is crucial for patient management.

Observation:

  • A 64-year-old male with COVID-19 presented with respiratory failure requiring ICU admission.
  • The patient developed bilateral deep vein thrombosis (DVT), pulmonary embolism (PE), and aortic thrombus (thoracic and abdominal).

Findings:

  • COVID-19 infection was associated with widespread venous and arterial thrombosis in this rare case.
  • Prompt anticoagulation and vascular surgery consultation were initiated for management.

Implications:

  • This case emphasizes the critical importance of recognizing and managing thrombotic complications in COVID-19.
  • A multi-modal approach is necessary to address the prothrombotic state induced by COVID-19.
  • Further research is needed to refine treatment protocols for COVID-19-associated thrombosis.

Keywords:
aortacovid-19dvtpulmonary embolismthrombosis

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