Multiorgan thrombosis as a complication of COVID-19 pneumonia

A 47-year-old man, positive for SARS-CoV-2, was diagnosed with acute coronary syndrome (ACS) complicated by myocarditis on a background of COVID-19 pneumonia. He was medically treated for ACS; however, 3 days into his admission, the patient developed neurological complications confirmed on MRI of th...

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Bibliographic Details
Published in:BMJ case reports 2021-07, Vol.14 (7), p.e243953
Main Authors: Ceci Bonello, Etienne, Casha, Ramon, Xerri, Thelma, Bonello, John, Fsadni, Claudia, Mallia Azzopardi, Charles
Format: Article
Language:English
Subjects:
Abdomen
Acute coronary syndromes
Akinesia
Blood clots
Blood pressure
Case Report
Case reports
Coronaviruses
COVID-19
Disease
Edema
Heart
Infections
Ischemia
Oxygen saturation
Pain
Patients
Pneumonia
Severe acute respiratory syndrome coronavirus 2
Thromboembolism
Thrombosis
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Summary:A 47-year-old man, positive for SARS-CoV-2, was diagnosed with acute coronary syndrome (ACS) complicated by myocarditis on a background of COVID-19 pneumonia. He was medically treated for ACS; however, 3 days into his admission, the patient developed neurological complications confirmed on MRI of the brain. MRI showed established infarcts involving a large part of the left temporal lobe and right occipital lobe, with minor foci of micro-haemorrhagic transformation in the left temporal lobe. A left ventricular mural thrombus was then confirmed on echocardiogram, and this was attributed as the cause of his neurological infarct. Further infarctions in the kidneys and spleen, and thrombi in the superior mesenteric and left femoral artery were also identified on imaging of the abdomen. The left ventricular mural thrombus was removed surgically via a midline sternotomy incision under general anaesthesia. Surgery was successful and the patient was discharged to a rehabilitation centre.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-243953