TY - JOUR
AU - Ferguson, Katie
AU - Quail, Nathaniel
AU - Kewin, Peter
AU - Blyth, Kevin G.
PY - 2020
DA - August
TI - COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis
JO - BMJ Case Reports
VL - 13
IS - 8
DO - http://dx.doi.org/10.1136/bcr-2020-237460
AB - 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.
PB - BMJ Publishing Group
UR - http://eprints.gla.ac.uk/224920/
KW - Coronavirus (COVID-19)
ER