https://doi.org/10.4081/ecj.2021.9718

Simultaneous arterial and venous thromboembolic events associated with COVID-19. A case report

Vol. 17 No. 2 (2021)
Submitted: 1 March 2021
Accepted: 27 April 2021
Published: 28 June 2021
Pulmonary embolism, COVID-19, arterial embolism, patent foramen ovale, venous embolism, case report
Abstract Views: 673
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Authors

Ashley Reed
Ashleyreed@nhs.net
https://orcid.org/0000-0001-5021-6641
Emergency Department, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, England, United Kingdom.
Caroline Howard
Emergency Department, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, England, United Kingdom.
Mohamed Barakat
Emergency Department, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, England, United Kingdom.
Ali Navi
Department of Vascular Surgery, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, England, United Kingdom.

Infections with COVID-19 can induce thrombophilia and increase the risk of thrombotic events. We describe a case of a 64- years-old male who presents with intermediate-risk pulmonary embolism and brachial artery thrombosis secondary to an undiagnosed patent foramen ovale and COVID-19 infection. The patient was successfully treated with thrombolysis and heparin infusions and was discharged home with long-term anticoagulation. Managing patients with multiple pathologies occurring concurrently requires effective inter-speciality working in order to take a holistic approach to managing the patient opposed to managing the conditions in isolation. This case report highlights how clinical guidelines can support decision making of the individual pathologies but working as a team will enable the best care.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Petruzzelli S, Palla A, Pieraccini F, et al. Routine electrocardiography in screening for pulmonary embolism. Respiration 1986;50:233-43. DOI: https://doi.org/10.1159/000194933
Zhang L, Yan X, Fan Q, et al. D‐dimer levels on admission to predict in‐hospital mortality in patients with Covid‐19. J Thromb Haemost 2020;18:1324-9. DOI: https://doi.org/10.1111/jth.14859
Leonard-Lorant I, Delabranche X, Severac F, et al. Acute pulmonary embolism in COVID-19 patients on CT angiography and relationship to D-dimer levels. Radiology 2020:201561. DOI: https://doi.org/10.1148/radiol.2020201561
BTS Guidance on venous thromboembolic disease in patients with COVID-19. Updated 4 May 2020.
Aujesky D, Obrosky DS, Stone RA, et al. Derivation and validation of a prognostic model for pulmonary embolism. Am J Resp Critical Care Med 2005;172:1041-6. DOI: https://doi.org/10.1164/rccm.200506-862OC
Klok FA, Kruip MJ, Van Der Meer NJ, et al. Confirmation of the high cumulative incidence of thrombotic complications in critically ill ICU patients with COVID-19: an updated analysis. Thromb Res 2020;191:148-50. DOI: https://doi.org/10.1016/j.thromres.2020.04.041
Wise J. Covid-19 and thrombosis: what do we know about the risks and treatment? BMJ 2020;369:m2058. DOI: https://doi.org/10.1136/bmj.m2058
Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost 2020;18:844-7. DOI: https://doi.org/10.1111/jth.14768
Iba T, Di Nisio M, Levy JH, et al. New criteria for sepsis-induced coagulopathy (SIC) following the revised sepsis definition: a retrospective analysis of a nationwide survey. BMJ Open 2017;7:e017046. DOI: https://doi.org/10.1136/bmjopen-2017-017046
Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Heart J 2020;41:543-603. DOI: https://doi.org/10.1093/eurheartj/ehz405
Meyer G, Vicaut E, Danays T, et al. Fibrinolysis for patients with intermediate-risk pulmonary embolism. N Engl J Med 2014;370:1402-11. DOI: https://doi.org/10.1056/NEJMoa1302097

How to Cite

Reed, A., Howard, C., Barakat, M. ., & Navi, A. (2021). Simultaneous arterial and venous thromboembolic events associated with COVID-19. A case report. Emergency Care Journal, 17(2). https://doi.org/10.4081/ecj.2021.9718

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