Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescent
Abstract Background Viral infection into lung, muscular, and endothelial cells results in inflammatory response, including edema, degeneration, and necrotic alterations. The involvement of the major arteries in adolescent with COVID-19 has been infrequently reported in the literature. The aim of the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-09-01
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| Series: | Annals of Pediatric Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43159-021-00124-5 |
| _version_ | 1819129357479706624 |
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| author | Mariana Orate Menezes da Silva Henrique Amorim Santos Amanda Fernandes Vidal da Silva Guilherme Marum Jose Maria Pereira de Godoy |
| author_facet | Mariana Orate Menezes da Silva Henrique Amorim Santos Amanda Fernandes Vidal da Silva Guilherme Marum Jose Maria Pereira de Godoy |
| author_sort | Mariana Orate Menezes da Silva |
| collection | DOAJ |
| description | Abstract Background Viral infection into lung, muscular, and endothelial cells results in inflammatory response, including edema, degeneration, and necrotic alterations. The involvement of the major arteries in adolescent with COVID-19 has been infrequently reported in the literature. The aim of the present study is to report thrombosis of the right iliac, femoral and tibial arteries and stenosis of left iliac artery in an adolescent with COVID-19 and to discuss the pathophysiological hypotheses. Case presentation We report the case of a 17-year-old female patient with COVID-19 infection. She was seen at the physician specialized general medicine in her hometown, was diagnosed with COVID-19 but did not require hospitalization. After 15 days, she had sudden pain in the left leg that has limited her ability to walk more than 10 met, associated with extremity cyanosis and coldness. Angiotomography revealed thrombosis of a portion of the iliac and popliteal arteries. Na emergency embolectomy was successfully performed, followed by full-dose heparinization with unfractionated heparin. Conclusion Arterial thrombosis of large arteries may be associated with chronic inflammatory syndrome secondary to COVID-19 infection and the treatment with a late embolectomy was successful, even in a thrombotic event. |
| first_indexed | 2024-12-22T08:42:26Z |
| format | Article |
| id | doaj.art-a959b31309f9492e993e0c1627bc49d2 |
| institution | Directory Open Access Journal |
| issn | 2090-5394 |
| language | English |
| last_indexed | 2024-12-22T08:42:26Z |
| publishDate | 2021-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Annals of Pediatric Surgery |
| spelling | doaj.art-a959b31309f9492e993e0c1627bc49d22022-12-21T18:32:12ZengSpringerOpenAnnals of Pediatric Surgery2090-53942021-09-011711410.1186/s43159-021-00124-5Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescentMariana Orate Menezes da Silva0Henrique Amorim Santos1Amanda Fernandes Vidal da Silva2Guilherme Marum3Jose Maria Pereira de Godoy4Service Vascular Surgery, Medicine School in Sao Jose do Rio Preto (FAMERP)Service Vascular Surgery, Medicine School in Sao Jose do Rio Preto (FAMERP)Service Vascular Surgery, Medicine School in Sao Jose do Rio Preto (FAMERP)Service Vascular Surgery, Medicine School in Sao Jose do Rio Preto (FAMERP)Cardiology and Cardiovascular Surgery Department in Medicine School of Sao Jose do Rio Preto-FAMERPAbstract Background Viral infection into lung, muscular, and endothelial cells results in inflammatory response, including edema, degeneration, and necrotic alterations. The involvement of the major arteries in adolescent with COVID-19 has been infrequently reported in the literature. The aim of the present study is to report thrombosis of the right iliac, femoral and tibial arteries and stenosis of left iliac artery in an adolescent with COVID-19 and to discuss the pathophysiological hypotheses. Case presentation We report the case of a 17-year-old female patient with COVID-19 infection. She was seen at the physician specialized general medicine in her hometown, was diagnosed with COVID-19 but did not require hospitalization. After 15 days, she had sudden pain in the left leg that has limited her ability to walk more than 10 met, associated with extremity cyanosis and coldness. Angiotomography revealed thrombosis of a portion of the iliac and popliteal arteries. Na emergency embolectomy was successfully performed, followed by full-dose heparinization with unfractionated heparin. Conclusion Arterial thrombosis of large arteries may be associated with chronic inflammatory syndrome secondary to COVID-19 infection and the treatment with a late embolectomy was successful, even in a thrombotic event.https://doi.org/10.1186/s43159-021-00124-5ThrombosisIliacFemoralPoplitealTibialArteries |
| spellingShingle | Mariana Orate Menezes da Silva Henrique Amorim Santos Amanda Fernandes Vidal da Silva Guilherme Marum Jose Maria Pereira de Godoy Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescent Annals of Pediatric Surgery Thrombosis Iliac Femoral Popliteal Tibial Arteries |
| title | Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescent |
| title_full | Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescent |
| title_fullStr | Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescent |
| title_full_unstemmed | Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescent |
| title_short | Thrombosis of the right iliac, femoral, popliteal, and tibial arteries in a post-COVID-19 in adolescent |
| title_sort | thrombosis of the right iliac femoral popliteal and tibial arteries in a post covid 19 in adolescent |
| topic | Thrombosis Iliac Femoral Popliteal Tibial Arteries |
| url | https://doi.org/10.1186/s43159-021-00124-5 |
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