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Vasc Endovascular Surg . Thoracic Aortic Mural Thrombus, Right Ventricular Clot and Pulmonary Embolism in a Patient With COVID-19 Pneumonia

tetano

Editor, Senior Moderator
Vasc Endovascular Surg


. 2020 Oct 9;1538574420966106.
doi: 10.1177/1538574420966106. Online ahead of print.
Thoracic Aortic Mural Thrombus, Right Ventricular Clot and Pulmonary Embolism in a Patient With COVID-19 Pneumonia


Marc Masana[SUP] 1 [/SUP], Lucia I Martinez[SUP] 1 [/SUP], Miquel Gil[SUP] 1 [/SUP], Gonzalo Bueno[SUP] 1 [/SUP], Secundino Llagostera[SUP] 1 [/SUP]



Affiliations

Abstract

Since the outbreak of the COVID-19 pandemic, increasing evidence suggests that infected patients present a high incidence of thrombotic complications. We report a 67-year-old-woman admitted for severe acute respiratory syndrome coronavirus 2 infection. Chest CT images showed bilateral ground glass opacities, bilateral pulmonary embolism, right ventricular clot in transit and 2 thoracic aortic mural thrombus. Therapy was initiated with subcutaneous low-molecular-weight heparin, and the patient was discharged at 20 days asymptomatic. Complete resolution of the aortic thrombus was observed in a 1-month surveillance CT angiogram. Our case illustrates vascular complications in a COVID-19 patient and its effective treatment with anticoagulation.

Keywords: aortic mural thrombus; coagulopathy; coronavirus disease 2019; pulmonary embolism; ventricular clot and low-molecular-weight heparin.
 
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