tetano
Editor, Senior Moderator
J Card Surg
. 2022 Jul 16.
doi: 10.1111/jocs.16761. Online ahead of print.
Large tricuspid valve thrombus complicating COVID-19 pneumonia
Yasser A Kamal[SUP] 1 [/SUP], Shady E Al-Elwany[SUP] 1 [/SUP], Mostafa M Elsayed[SUP] 1 [/SUP]
Affiliations
Abstract
Background: Hemostatic disturbances with coronavirus disease 2019 (COVID-19) can predispose to tricuspid and right heart thrombi in very rare instances.
Aim: We describe a 29-year-old female patient without a previous cause of thrombosis who developed large tricuspid valve thrombus (TVT) and moderate-to-severe tricuspid regurgitation (TR) during the course of COVID-19 infection.
Materials and methods: Persistant fever and tachycardia with thrombocytopenia and high d-dimer increased the index of suspicion. The diagnosis was made by bedside transthoracic echocardiography (TTE) and cardiac magnetic resonance (CMR). Surgery was performed for thrombectomy and tricuspid valve replacement with a tissue valve.
Discussion and conclusion: Detection of TVT in COVID-19 patients on the basis of high index of suspicion, bedside TTE and noninvasive CMR helps early surgical treatment and subsequent reduction of mortality and hospital stay.
Keywords: COVID-19; cardiac magnetic resonance; hypercoagulation; thrombus; tricuspid valve.
. 2022 Jul 16.
doi: 10.1111/jocs.16761. Online ahead of print.
Large tricuspid valve thrombus complicating COVID-19 pneumonia
Yasser A Kamal[SUP] 1 [/SUP], Shady E Al-Elwany[SUP] 1 [/SUP], Mostafa M Elsayed[SUP] 1 [/SUP]
Affiliations
- PMID: 35842811
- DOI: 10.1111/jocs.16761
Abstract
Background: Hemostatic disturbances with coronavirus disease 2019 (COVID-19) can predispose to tricuspid and right heart thrombi in very rare instances.
Aim: We describe a 29-year-old female patient without a previous cause of thrombosis who developed large tricuspid valve thrombus (TVT) and moderate-to-severe tricuspid regurgitation (TR) during the course of COVID-19 infection.
Materials and methods: Persistant fever and tachycardia with thrombocytopenia and high d-dimer increased the index of suspicion. The diagnosis was made by bedside transthoracic echocardiography (TTE) and cardiac magnetic resonance (CMR). Surgery was performed for thrombectomy and tricuspid valve replacement with a tissue valve.
Discussion and conclusion: Detection of TVT in COVID-19 patients on the basis of high index of suspicion, bedside TTE and noninvasive CMR helps early surgical treatment and subsequent reduction of mortality and hospital stay.
Keywords: COVID-19; cardiac magnetic resonance; hypercoagulation; thrombus; tricuspid valve.