Vasc Spec Int.  2021 Dec;37(4):36. 10.5758/vsi.210039.

Extensive Acute Lower Extremity Arterial Thrombosis: A Major Thrombus Formation Caused by COVID-19

Affiliations
  • 1Department of Vascular and Endovascular Surgery, Rouhani Hospital, Rouhani Hospital, Babol, Iran
  • 2Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
  • 3Department of Geriatric Psychiatry, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
  • 4Student Research Committee, Babol University of Medical Sciences, Babol, Iran

Abstract

Acute thromboembolic events have been frequently reported in patients with coronavirus disease 2019 (COVID-19) due to an increase in the coagulation system activity and endothelial dysfunction. This report describes a patient with COVID-19 who initially reported respiratory symptoms and developed acute lower limb ischemia secondary to extensive macrovascular arterial thrombosis, which was treated with thrombectomy. The development of such extensive arterial thrombosis with anticoagulants at therapeutic doses is a new sign of increased viral pathogenicity, and it is necessary to develop and apply updated prophylaxis protocols for thrombosis in these patients.

Keyword

Acute limb ischemia; Arterial thrombosis; COVID-19
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