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Extensive Left Ventricular Thrombosis after Recovery from COVID-19: A Case Report
Navid Shafigh1, Fatemeh Roodneshin1, Morteza Hasheminik2
1Department of Anesthesiology and Critical Care Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran.
Insights
COVID-19 commonly causes coagulation disorders, leading to thrombotic complications. This case highlights an unusual extensive left ventricular thrombosis after recovery, even with anticoagulant prophylaxis.
Area of Science:
- Cardiology
- Hematology
- Infectious Diseases
Background:
- Coagulation disorders are frequent in COVID-19 patients, especially severe cases.
- Thrombotic complications like pulmonary embolism, deep vein thrombosis (DVT), and stroke are prevalent.
- COVID-19 coagulopathy may involve disseminated intravascular coagulation (DIC) and pulmonary thrombotic microangiopathy, impacting organ function.
Observation:
- This case report details an unusual instance of extensive left ventricular thrombosis.
- The thrombosis occurred in a patient who had recently recovered from COVID-19.
- The patient was receiving anticoagulant prophylaxis at the time of the event.
Findings:
- Left ventricular thrombosis is a rare but serious complication post-COVID-19 recovery.
- The occurrence despite anticoagulant prophylaxis suggests complex thrombotic mechanisms.
- This highlights the potential for significant cardiovascular complications following SARS-CoV-2 infection.
Implications:
- Further research is needed to understand the mechanisms of post-COVID-19 thrombosis.
- Clinical vigilance for cardiac complications in recovered COVID-19 patients is crucial.
- Anticoagulant strategies may require re-evaluation for specific patient profiles.
Abstract:
Coagulation disorder is common among COVID-19 patients, particularly those afflicted with the severe form of the disease. Manifestations of thrombotic complications such as pulmonary embolism, deep vein thrombosis (DVT), ischemic stroke, cardiac infarction and arterial embolism is high in COVID-19 patients which have been assessed in various studies (5).It seems that COVID-19-related coagulopathy is a combination of low-grade DIC and pulmonary thrombotic microangiopathy which can have a significant effect on organ dysfunction in patients with severe COVID-19 (6). Numerous complications have been reported following COVID-19 disease. Although the disease often improves after going through various clinical phases, some people have short-term or long-term complications including coagulationdisorders. This case report presents an unusual instance of extensive left ventricular thrombosis in a patient who had recently recovered from COVID-19, despite being on anticoagulant prophylaxis.
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