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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Concurrent left ventricular and left anterior coronary artery thrombus: is COVID-19 an innocent bystander?

Vincenzo Somma1, Anthony Brennan2, Francis Ha2

  • 1Internal Medicine Trainee.

The British Journal of Cardiology
|June 24, 2024
PubMed

Insights

This study details a case of myocardial infarction (heart attack) linked to COVID-19. Angiography revealed significant blood clots despite minimal coronary artery blockages.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • COVID-19 is associated with an increased risk of thrombotic events.
  • Myocardial infarction can occur in the context of COVID-19 infection.
  • The underlying mechanisms linking COVID-19 to cardiovascular events are still being investigated.

Purpose of the Study:

  • To present the angiographic findings in a patient with myocardial infarction and COVID-19.
  • To highlight the presence of a heavy thrombus burden despite minimal obstructive coronary artery disease.

Main Methods:

  • Case report presentation.
  • Review of angiographic findings.
  • Clinical correlation of COVID-19 infection and cardiac event.

Main Results:

  • Angiography demonstrated a significant thrombus burden in the coronary arteries.
  • Obstructive coronary artery disease was noted to be minor.
  • The patient experienced myocardial infarction in the setting of COVID-19.

Conclusions:

  • COVID-19 can precipitate acute coronary syndromes with substantial thrombus formation.
  • Thrombus burden in COVID-19-associated myocardial infarction may not correlate with the degree of underlying coronary atherosclerosis.
  • Further research is needed to elucidate the prothrombotic mechanisms of COVID-19 affecting coronary arteries.

Keywords:
COVID-19acute coronary syndromeapical thrombuscoronary artery thrombosis

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