Multisystem thromboembolism in a COVID-19 patient: a case report

Hypercoagulability has been found in patients diagnosed with the novel coronavirus 19 (COVID-19) and has been identified as a major cause of morbidity and mortality. Herein, we report the challenge in managing a patient presenting with a 5 day history of COVID-19 diagnosis, complicated by deep venou...

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Main Authors: Moaaz Baghal, Viralkumar Amrutiya, Swati Govil, Rutwik Patel, Mark Gabelman, Brandon Gaynor, Syed Jafri, Abraham Lo
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2021-07-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2021.1933715
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author Moaaz Baghal
Viralkumar Amrutiya
Swati Govil
Rutwik Patel
Mark Gabelman
Brandon Gaynor
Syed Jafri
Abraham Lo
author_facet Moaaz Baghal
Viralkumar Amrutiya
Swati Govil
Rutwik Patel
Mark Gabelman
Brandon Gaynor
Syed Jafri
Abraham Lo
author_sort Moaaz Baghal
collection DOAJ
description Hypercoagulability has been found in patients diagnosed with the novel coronavirus 19 (COVID-19) and has been identified as a major cause of morbidity and mortality. Herein, we report the challenge in managing a patient presenting with a 5 day history of COVID-19 diagnosis, complicated by deep venous thrombosis, pulmonary embolism and ischemic stroke in the setting of atrial septal aneurysm, presumed patent foramen ovale and paradoxical embolism, identified to have clots in transit on echocardiogram. The application of anticoagulation was felt to be high risk. The patient was transferred to a tertiary facility where the patient underwent thrombus aspiration and was eventually complicated by hemorrhagic conversion of the stroke.
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spelling doaj.art-b0d75e526fb34e1487629da5dbae9aa52023-01-02T03:42:06ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662021-07-0111448949510.1080/20009666.2021.19337151933715Multisystem thromboembolism in a COVID-19 patient: a case reportMoaaz Baghal0Viralkumar Amrutiya1Swati Govil2Rutwik Patel3Mark Gabelman4Brandon Gaynor5Syed Jafri6Abraham Lo7Hackensack Meridian Health Palisades Medical CenterHackensack Meridian Health Palisades Medical CenterHackensack Meridian Health Palisades Medical CenterHackensack Meridian Health Palisades Medical CenterHackensack Meridian Health Palisades Medical CenterHackensack Meridian Health Palisades Medical CenterHackensack Meridian Health Palisades Medical CenterHackensack Meridian Health Palisades Medical CenterHypercoagulability has been found in patients diagnosed with the novel coronavirus 19 (COVID-19) and has been identified as a major cause of morbidity and mortality. Herein, we report the challenge in managing a patient presenting with a 5 day history of COVID-19 diagnosis, complicated by deep venous thrombosis, pulmonary embolism and ischemic stroke in the setting of atrial septal aneurysm, presumed patent foramen ovale and paradoxical embolism, identified to have clots in transit on echocardiogram. The application of anticoagulation was felt to be high risk. The patient was transferred to a tertiary facility where the patient underwent thrombus aspiration and was eventually complicated by hemorrhagic conversion of the stroke.http://dx.doi.org/10.1080/20009666.2021.1933715covid-19hypercoagulabilitythromboembolismdvtpulmonary embolismischemic strokeanticoagulation
spellingShingle Moaaz Baghal
Viralkumar Amrutiya
Swati Govil
Rutwik Patel
Mark Gabelman
Brandon Gaynor
Syed Jafri
Abraham Lo
Multisystem thromboembolism in a COVID-19 patient: a case report
Journal of Community Hospital Internal Medicine Perspectives
covid-19
hypercoagulability
thromboembolism
dvt
pulmonary embolism
ischemic stroke
anticoagulation
title Multisystem thromboembolism in a COVID-19 patient: a case report
title_full Multisystem thromboembolism in a COVID-19 patient: a case report
title_fullStr Multisystem thromboembolism in a COVID-19 patient: a case report
title_full_unstemmed Multisystem thromboembolism in a COVID-19 patient: a case report
title_short Multisystem thromboembolism in a COVID-19 patient: a case report
title_sort multisystem thromboembolism in a covid 19 patient a case report
topic covid-19
hypercoagulability
thromboembolism
dvt
pulmonary embolism
ischemic stroke
anticoagulation
url http://dx.doi.org/10.1080/20009666.2021.1933715
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