tetano
Editor, Senior Moderator
Cureus
. 2022 May 21;14(5):e25193.
doi: 10.7759/cureus.25193. eCollection 2022 May.
Cardiac Thromboembolism in COVID-19: A Case Series
Sachin Kumar[SUP] 1 [/SUP], Sanchit Chawla[SUP] 1 [/SUP], Hussain Karimi[SUP] 1 [/SUP], Taha Ahmed[SUP] 2 [/SUP], Gautam Shah[SUP] 3 [/SUP]
Affiliations
Abstract
Venous thromboembolism (VTE) is a very common complication of coronavirus disease-2019 (COVID-19) because of the acquired hypercoagulability in these patients. Cardiovascular thromboembolism (CTE) is another complication that is relatively rare yet catastrophic. We present two cases of COVID-19 which were complicated by CTE. Case one describes a 55-year-old male with COVID-19 who had an ST-segment elevation myocardial infarction (STEMI) secondary to coronary artery embolism and was also found to have biventricular thrombi (BVT). Case two describes a 65-year-old female presenting with STEMI secondary to coronary artery embolism. This document highlights how CTE can be present in COVID-19 patients and describes the available evidence for its management. Given the paucity of data on these complications, we illustrate the offered treatment which was based on the data extrapolated from the treatment of VTE in COVID-19 and the treatment of CTE in non-COVID-19 patients.
Keywords: aspiration thrombectomy; biventricular thrombus; covid hypercoagulability; lad thrombus; st-elevation myocardial infarction (stemi).
. 2022 May 21;14(5):e25193.
doi: 10.7759/cureus.25193. eCollection 2022 May.
Cardiac Thromboembolism in COVID-19: A Case Series
Sachin Kumar[SUP] 1 [/SUP], Sanchit Chawla[SUP] 1 [/SUP], Hussain Karimi[SUP] 1 [/SUP], Taha Ahmed[SUP] 2 [/SUP], Gautam Shah[SUP] 3 [/SUP]
Affiliations
- PMID: 35747026
- PMCID: PMC9209393
- DOI: 10.7759/cureus.25193
Abstract
Venous thromboembolism (VTE) is a very common complication of coronavirus disease-2019 (COVID-19) because of the acquired hypercoagulability in these patients. Cardiovascular thromboembolism (CTE) is another complication that is relatively rare yet catastrophic. We present two cases of COVID-19 which were complicated by CTE. Case one describes a 55-year-old male with COVID-19 who had an ST-segment elevation myocardial infarction (STEMI) secondary to coronary artery embolism and was also found to have biventricular thrombi (BVT). Case two describes a 65-year-old female presenting with STEMI secondary to coronary artery embolism. This document highlights how CTE can be present in COVID-19 patients and describes the available evidence for its management. Given the paucity of data on these complications, we illustrate the offered treatment which was based on the data extrapolated from the treatment of VTE in COVID-19 and the treatment of CTE in non-COVID-19 patients.
Keywords: aspiration thrombectomy; biventricular thrombus; covid hypercoagulability; lad thrombus; st-elevation myocardial infarction (stemi).