Elsevier

Clinical Imaging

Volume 75, July 2021, Pages 1-4
Clinical Imaging

Cardiothoracic Imaging
Aorto-iliac/right leg arterial thrombosis necessitating limb amputation, pulmonary arterial, intracardiac, and ilio-caval venous thrombosis in a 40-year-old with COVID-19

https://doi.org/10.1016/j.clinimag.2020.12.036Get rights and content

Highlights

  • COVID-19 related thrombosis may have various cardiovascular manifestations in the same patient.

  • Imaging has an important role in detection of COVID-19 related complications.

  • Knowledge of imaging and increased thromboembolism risk can lead to early detection and treatment.

Abstract

We describe a 40-year-old man with severe COVID-19 requiring mechanical ventilation who developed aorto-bi-iliac arterial, right lower extremity arterial, intracardiac, pulmonary arterial and ilio-caval venous thromboses and required right lower extremity amputation for acute limb ischemia. This unique case illustrates COVID-19-associated thrombotic complications occurring at multiple, different sites in the cardiovascular system of a single infected patient.

Keywords

COVID-19
Aorto-iliac thrombosis
Lower extremity arterial thrombosis
Acute limb ischemia
Intracardiac thrombus
Pulmonary arterial thromboembolism
Ilio-caval venous thrombosis

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