Journal Information
Vol. 47. Issue 4.
Pages 248-249 (April 2023)
Vol. 47. Issue 4.
Pages 248-249 (April 2023)
Images in Intensive Medicine
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Right and left thromboembolism in a COVID-19 infected patient
Tromboembolismo derecho e izquierdo en paciente con infección por COVID-19
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I. Keituqwa Yáñez
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ivankeituqwa@gmail.com

Corresponding author.
, J. Navarro Martínez, M. García Valiente
Unidad de Cuidados Intensivos y Electroestimulación Cardiaca, Hospital General Universitario Rafael Méndez, Lorca, Murcia, Spain
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Patient admitted to the ICU due to SARS-CoV-2-induced pneumonia who required mechanical ventilation and was transferred to one of the hospital conventional wards after 14 days at the ICU treated with anticoagulant therapy with enoxaparin. He was readmitted due to respiratory failure. The CAT scan performed revealed the presence of thrombi in segmental arteries of both the right superior and left inferior lobes. The transesophageal echocardiogram performed revealed the presence of dense, spontaneous echocontrast in the right chambers (Appendix B; video 1 and Fig. 1). After the new hospital discharge, the patient showed low level of consciousness. The cranial CAT scan performed revealed the presence of an infarction at right medial cerebral artery level while the transesophageal echocardiogram performed revealed the presence of a coumadin ridge (variant of normality) with attached thrombotic material (Appendix B; video 2 and Fig. 2), and lack of cardiac shunt (Appendix B; video 3). A sequela of left residual hemiparesis remained at the ICU discharge. This is a clear example that the infection due to COVID-19 increases the risk of thromboembolic events.

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Copyright © 2021. Elsevier España, S.L.U. and SEMICYUC
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