1. Acute aortoiliac occlusion in a patient with novel coronavirus disease-2019
- Author
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Christophe Michel, Antoine Millon, I Naudin, Nellie Della-Schiava, Anne Long, Bertrand Devigne, CarMeN, laboratoire, Hospices Civils de Lyon (HCL), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon, Hôpital Louis Pradel [CHU - HCL], and Hôpital Edouard Herriot [CHU - HCL]
- Subjects
Aortic arch ,medicine.medical_specialty ,medicine.medical_treatment ,[SDV]Life Sciences [q-bio] ,030204 cardiovascular system & hematology ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Arterial occlusion ,medicine.artery ,Occlusion ,medicine ,Inflammatory state ,030212 general & internal medicine ,Coronavirus ,business.industry ,Arterial thrombosis ,COVID-19 ,medicine.disease ,Thrombosis ,3. Good health ,Surgery ,[SDV] Life Sciences [q-bio] ,medicine.anatomical_structure ,Amputation ,Arterial Occlusive Diseases ,Cardiology and Cardiovascular Medicine ,business ,Artery - Abstract
International audience; The severe acute respiratory syndrome novel coronavirus-2 pandemic is affecting almost every country in the world. Even if the major symptoms of coronavirus disease-2019 are respiratory, different symptoms at presentation are now recognized. Venous thromboembolism has been reported in infected patients and few but increasing cases of arterial thrombosis have been described. We report a case of acute aortoiliac and lower limb artery occlusions in a patient presenting with severe coronavirus disease-2019 infection. The mechanism of the occlusion seemed to be distal embolization from a floating thrombus in the aortic arch caused by a major inflammatory state and virus infection. The patient underwent aortoiliac and lower limb artery mechanical thrombectomy, but required unilateral major amputation.
- Published
- 2021