J Vasc Surg . Acute aorto-iliac occlusion in patient with COVID-19

[tetano]

J Vasc Surg


. 2020 Oct 16;S0741-5214(20)32264-3.
doi: 10.1016/j.jvs.2020.10.018. Online ahead of print.
Acute aorto-iliac occlusion in patient with COVID-19


Iris Naudin ¹ , Anne Long ² , Christophe Michel ³ , Bertrand Devigne ⁴ , Antoine Millon ⁵ , Nellie Della-Schiava ⁵



Affiliations

• PMID: 33075454
• PMCID: PMC7568051
• DOI: 10.1016/j.jvs.2020.10.018

Abstract

Coronavirus (SARS-Coronavirus-2:SARS-CoV-2) pandemic is affecting almost every country in the world. Even if the major symptoms of coronavirus disease-2019 (COVID-19) are respiratory, different symptoms at presentation are now recognized. Venous thromboembolism has been reported in infected patients and few but increasing cases of arterial thrombosis have been described. We report a case of acute aorto-iliac and lower limb artery occlusions in a patient presenting with severe COVID-19 infection. The mechanism of the occlusion seemed to be distal embolization from a floating thrombus in the aortic arch caused by a major inflammatory state and virus infection. The patient underwent aorto-iliac and lower limb artery mechanical thrombectomy but required unilateral major amputation.

Keywords: Arterial occlusion; Arterial thrombosis; COVID-19; Corona virus; Inflammatory state.