A rare case of co-occurrence of pulmonary embolism and left ventricular thrombus in a patient with COVID-19

• Published in: SAGE open medical case reports Vol. 8; p. 2050313X20974534
• Main Authors: Farouji, Iyad, Chan, Kok Hoe, Abanoub, Rushdy, Guron, Gunwant, Slim, Jihad, Suleiman, Addi
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01-11-2020; Sage Publications Ltd; SAGE Publishing
• Subjects: Case Report; Case reports; Coronaviruses; COVID-19; Pulmonary embolisms; Severe acute respiratory syndrome; Severe acute respiratory syndrome coronavirus 2; Thrombosis; left ventricular thrombus; coagulopathy; pulmonary embolism; severe acute respiratory syndrome coronavirus 2; Coronavirus 2019
• ISSN: 2050-313X; 2050-313X
• DOI: 10.1177/2050313X20974534

The global pandemic of severe acute respiratory syndrome coronavirus 2 has caused significant morbidity and mortality, not only causing devastating lung injury but also has an enormous effect on the cardiovascular system. The hypercoagulable state associated with coronavirus 2019 plays a major role in the disease manifestation. Venous thromboembolism including pulmonary embolism remains the most common thrombotic manifestation of the disease as compared to arterial thrombosis. Nonetheless, the co-occurrence of both venous and arterial thrombosis in a coronavirus 2019 patient, to our knowledge, has rarely been reported. Herein, we are presenting a case of co-occurrence of left ventricular thrombosis with pulmonary embolism in the setting of coronavirus 2019 with successful treatment with apixaban.