Article ; Online: Coronary artery thrombus resulting in ST-elevation myocardial infarction in a patient with COVID-19.
BMJ case reports
2021 Volume 14, Issue 8
Abstract: ... to COVID-19 and developed a ST-elevation myocardial infarction (STEMI) during his admission. His coronary ... illustrates the association of COVID-19 with coronary artery thrombosis, which may require disparate ... coronary artery. In view of heavy thrombus burden, the right coronary artery was treated with thrombus retrieval ...
| Abstract | COVID-19 is a prothrombotic condition that is also associated with raised troponin levels and myocardial damage. We present a case of a 54-year-old man who was admitted with respiratory failure due to COVID-19 and developed a ST-elevation myocardial infarction (STEMI) during his admission. His coronary angiogram did not show any significant coronary artery disease other than a heavily thrombosed right coronary artery. In view of heavy thrombus burden, the right coronary artery was treated with thrombus retrieval using a distal embolic protection device in addition to manual thrombectomy and direct (intracoronary) thrombolysis without the need for implantation of a coronary stent. After successful revascularisation, triple antithrombotic therapy was instituted with an oral anticoagulant in addition to dual antiplatelets. This case illustrates the association of COVID-19 with coronary artery thrombosis, which may require disparate management of a STEMI than that resulting from atherosclerotic coronary artery disease. |
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| MeSH term(s) | COVID-19 ; Coronary Thrombosis/complications ; Coronary Thrombosis/diagnostic imaging ; Coronary Vessels ; Humans ; Male ; Middle Aged ; Myocardial Infarction/etiology ; SARS-CoV-2 ; ST Elevation Myocardial Infarction/etiology |
| Language | English |
| Publishing date | 2021-08-25 |
| Publishing country | England |
| Document type | Case Reports ; Journal Article |
| ISSN | 1757-790X |
| ISSN (online) | 1757-790X |
| DOI | 10.1136/bcr-2021-243811 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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