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Saddle pulmonary embolism and thrombus‐in‐transit straddling the patent foramen ovale 28 days after COVID symptom onset
Author(s) -
Fujikura Kana,
Fontes Joao D.,
Taub Cynthia C.
Publication year - 2020
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14796
Subject(s) - medicine , thrombus , covid-19 , pneumonia , pulmonary embolism , patent foramen ovale , cardiology , pediatrics , radiology , disease , migraine , infectious disease (medical specialty)
We present a late presentation of saddle pulmonary embolism and thrombus‐in‐transit straddle the patent foramen on patient who successfully recovered from severe acute respiratory syndrome coronavirus‐2 (COVID‐19) pneumonia. Seven days postdischarge (ie, 28 days after initial COVID‐19 symptom onset), she was readmitted to hospital for severe dyspnea. Computer tomography angiogram and echocardiography confirmed the diagnosis. Severe pro‐inflammatory and pro‐thrombotic states with endothelial involvement have been reported associated with severe COVID‐19 infection. However, the duration of hypercoagulable state has not yet known. This case highlights the risk of thromboembolic phenomena for prolonged periods of times after recovering from COVID‐19 pneumonia.