Saddle Aortic Embolism Following Recovery From Severe COVID-19 Pneumonia

Alqahtani, Saeed S; Altowygry, Saleh M; Alebiwani, Talal E; Alsaleh, Mujtaba E; Almajed, Atheer A; Alkhamis, Mohammed A; Abdullah, Ahmed A Al; Almajed, Mohammed; Alhamaqi, Mohammed E; Aljuhani, Faisal G; Alsharit, Ali A; Alshammari, Malak

doi:10.7759/cureus.18074

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Several cases have been reported to support this finding. For example, Alqahtani et al [5] reported the case of a middle-aged man with acute saddle aortic embolism after recovery from severe COVID-19 pneumonia, which required intubation and mechanical ventilation. They excluded any possible etiologies for the embolic disease.…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Thrombosis Following Severe COVID-19 Pneumonia

Alali¹,

Baqais²,

Albishi³

et al. 2021

Cureus

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Thrombotic events are well-recognized complications of coronavirus disease 2019 . The incidence of such complications is highly related to the severity of COVID-19 pneumonia. Recent evidence suggests that the coagulopathy of COVID-19 may persist for some period even after the full recovery from pneumonia. We report the case of a 35-year-old man who presented with a 10-day history of fever and cough. His plain radiograph showed bilateral peripherally located opacities suggestive of COVID-19. The diagnosis was confirmed by the reverse transcriptase-polymerase chain reaction (RT-PCR) for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). He was placed on a non-invasive ventilator but it failed to maintain normal oxygen saturation. Hence, the decision for intubation was made. He was extubated after 10 days in the ICU. The patient had a complete recovery. One week after discharge, the patient presented with severe abdominal pain that was out of proportion to the physical examination findings. He had an abdominal CT scan, which demonstrated a large thrombus occluding the superior mesenteric artery. There was no bowel dilatation or focal mural thickening to suggest bowel ischemia. The patient was resuscitated with intravenous fluid hydration. Opioid analgesics were administered to control the pain. After stabilizing the patient, he underwent laparotomy with thrombectomy. The patient tolerated the operation with no complications and had an uneventful recovery. The patient was discharged in good condition with no active issues after four days of hospitalization. The superior mesenteric thrombosis is an unusual complication of COVID-19 pneumonia. This case provides further evidence on the possibility of thrombotic events following the recovery from COVID-19. There is a pressing need for future studies to investigate the role of prophylactic antithrombotic and anticoagulants in patients who recovered from severe COVID-19.

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Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Thrombosis Following Severe COVID-19 Pneumonia

Alali¹,

Baqais²,

Albishi³

et al. 2021

Cureus

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“…However, few case reports highlighted the possible risk of coagulopathy even after the recovery from COVID-19. For example, Alqahtani et al [3] reported a case of acute saddle aortic embolism that occurred three days after the recovery from severe COVID-19 pneumonia that required mechanical ventilation. Here, we report a similar case with a patient developing cerebral venous infarct following the recovery from severe COVID-19 pneumonia.…”

Section: Introductionmentioning

confidence: 99%

Cerebral Venous Infarct After Recovery From COVID-19 Pneumonia

Alfahhad¹,

Alghamdi²,

Alzahrani³

et al. 2021

Cureus

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The coronavirus disease 2019 (COVID-19) may have multisystem organ involvement. Thrombotic events are well-recognized complications of COVID-19. Such complications may include the pulmonary, renal, and other organs vasculature. The risk of coagulopathy is usually related to the severity of COVID-19 pneumonia. Few cases suggested that the coagulopathy risk may persist for some period after the recovery from COVID-19. We report the case of a middle-aged man with severe COVID-19 pneumonia that required seven days of endotracheal intubation and mechanical ventilation who presented with headache and left-sided weakness that occurred three days after his discharge. A computed tomography scan was performed to rule out intracranial hemorrhage before initiating the thrombolytic therapy. The scan demonstrated hemorrhage in the right temporal lobe with surrounding vasogenic edema along with density in the right transverse sinus. Subsequently, computed tomography venography was performed and demonstrated the filling defect representing right sigmoid venous sinus thrombosis. The patient received conservative measures in the form of intravenous hydration, anticoagulation, analgesics, and anticonvulsants. During the hospital stay, the patient had improvement in his symptom and mild neurological deficit persisted. The case highlighted that risk of thrombotic complications in COVID-19 pneumonia may persist for some period after the recovery from the disease. Hence, thromboprophylaxis may be indicated in selected patients with a risk of thrombotic events after their recovery from severe COVID-19.

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Saddle Aortic Embolism Following Recovery From Severe COVID-19 Pneumonia

Cited by 2 publications

References 5 publications

Superior Mesenteric Artery Thrombosis Following Severe COVID-19 Pneumonia

Superior Mesenteric Artery Thrombosis Following Severe COVID-19 Pneumonia

Cerebral Venous Infarct After Recovery From COVID-19 Pneumonia

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