@article{Ferguson_K-2020_14684,
title = {COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis},
author = {Ferguson, K. and Quail, N. and Kewin, P. and Blyth, K.},
month = {aug},
year = {2020},
abstract = {We describe a patient with COVID-19 who developed simultaneous pulmonary, intracardiac and peripheral arterial thrombosis. A 58-year-old man, without major comorbidity, was admitted with a 14-day history of breathlessness. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection was confirmed by laboratory testing. Initial imaging revealed COVID-19 pneumonia but no pulmonary thromboembolism (PTE) on CT pulmonary angiography (CTPA). The patient subsequently developed respiratory failure and left foot ischaemia associated with a rising D-dimer. Repeat CTPA and lower limb CT angiography revealed simultaneous bilateral PTE, biventricular cardiac thrombi and bilateral lower limb arterial occlusions. This case highlights a broad range of vascular sequalae associated with COVID-19 and the fact that these can occur despite a combination of prophylactic and treatment dose anticoagulation.},
volume = {13},
issue = {8},
journal = {BMJ Case Reports},
publisher = {BMJ Publishing Group},
url = {http://dx.doi.org/10.1136/bcr-2020-237460},
}
