Acute upper limb arterial ischemia in patients diagnosed with COVID-19: case series

Infection by coronavirus 2, cause of the severe acute respiratory syndrome (SARS-CoV-2) in humans, was detected for the first time in Wuhan, China, in 2019, and spread globally over the course of 2020. Its different clinical manifestations are challenging, with a wide spectrum of presentations, rang...

Full description

Saved in:
Bibliographic Details
Published in:Jornal vascular brasileiro 2021-06, Vol.20, p.e20200234
Main Authors: Rosa, Felipe Damascena, Burihan, Marcelo Calil, Simões, Elexandra Aparecida, Abdala, João Paulo de Souza, Barros, Orlando da Costa, Nasser, Felipe
Format: Article
Language:English
Subjects:
Case Report
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Infection by coronavirus 2, cause of the severe acute respiratory syndrome (SARS-CoV-2) in humans, was detected for the first time in Wuhan, China, in 2019, and spread globally over the course of 2020. Its different clinical manifestations are challenging, with a wide spectrum of presentations, ranging from asymptomatic infections to severe forms that can result in death. The objective of this study is to describe a series of four cases of acute arterial ischemia involving the upper limbs in patients diagnosed with COVID-19, which were managed clinically with anticoagulation, platelet antiaggregation, and prostanoids. Two patients were discharged from hospital with regression and delimitation of the ischemic zone, without needing surgical intervention, while two patients died from pulmonary complications. Adequate understanding of the pathophysiology of this disease could support better clinical management of its complications.
ISSN:1677-5449
1677-7301
DOI:10.1590/1677-5449.200234