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

  • Ashley Reed | Ashleyreed@nhs.net Emergency Department, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, England, United Kingdom. https://orcid.org/0000-0001-5021-6641
  • 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.

Abstract

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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References

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Published
2021-06-28
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Issue
Section
Case Reports
Keywords:
Pulmonary embolism, COVID-19, arterial embolism, patent foramen ovale, venous embolism, case report
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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