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Right atrial thrombus in a patient with COVID-19 pneumonia: a case report.
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ABSTRACT: Background
Significant coagulopathy and hyperinflammation are found in patients with coronavirus disease 2019 (COVID-19). Expert consensus has recommended prophylactic anticoagulation in COVID-19 patients due to the risk of thrombo-embolism. However, the use of therapeutic anticoagulation in these patients is still a matter of debate.Case summary
We describe a patient with COVID-19 pneumonia and a clinical hyperinflammatory state. He developed early respiratory depression and required ventilation, and he subsequently developed haemodynamic instability. Point-of-care echocardiography demonstrated a right atrial thrombus and right ventricular dysfunction suggestive of acute massive pulmonary embolism. He was managed with veno-arterial extracorporeal membrane oxygenation and local thrombolysis.Discussion
Critical cases of COVID-19 pneumonia are associated with hypercoagulation, and these patients should be monitored closely for complications. Therapeutic anticoagulation may play a role in the management and prevention of thrombo-embolism.
SUBMITTER: Shamsah MA
PROVIDER: S-EPMC7499658 | biostudies-literature | 2020 Oct
REPOSITORIES: biostudies-literature
Publications
Right atrial thrombus in a patient with COVID-19 pneumonia: a case report.
European heart journal. Case reports 20200904 FI1
<h4>Background</h4>Significant coagulopathy and hyperinflammation are found in patients with coronavirus disease 2019 (COVID-19). Expert consensus has recommended prophylactic anticoagulation in COVID-19 patients due to the risk of thrombo-embolism. However, the use of therapeutic anticoagulation in these patients is still a matter of debate.<h4>Case summary</h4>We describe a patient with COVID-19 pneumonia and a clinical hyperinflammatory state. He developed early respiratory depression and req ...[more]