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COVID-19-Related Spontaneous Aortic Arch Thrombus With Delayed Embolization.
- Source :
-
American Surgeon . May2023, Vol. 89 Issue 5, p2122-2124. 3p. - Publication Year :
- 2023
-
Abstract
- Presentation of a 62-year-old man with baseline chronic obstructive pulmonary disease admitted to the hospital with dyspnea and newly diagnosed COVID-19 infection. CT scan of the chest was obtained to rule out pulmonary embolism. This revealed a mural thrombus of the inner curvature of the aortic arch with a floating component. Therapeutic full dose anticoagulation was initiated in combination with close clinical observation and treatment for modest hypoxia. He did well for 1 month and then returned with ischemic rest pain of the right foot. Angiography revealed thrombosis of all 3 tibial arteries in the right leg. Percutaneous mechanical thrombectomy with tissue plasminogen activator injection and angioplasty was performed with success in 1 tibial artery to achieve in line flow to the foot. After continued anticoagulation, the remainder of the tibial arteries autolysed and the aortic thrombus was noted to be resolved 4 months later. A brief pathophysiology discussion is included. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00031348
- Volume :
- 89
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- American Surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 164198343
- Full Text :
- https://doi.org/10.1177/00031348211034744