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Int J Angiol 2023; 32(03): 197-201
DOI: 10.1055/s-0041-1735200
Case Report

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

Raka A. Nugraha 
1   Department of General Medicine, Universitas Indonesia Hospital, Depok, Indonesia
,
Hary S. Muliawan
2   Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita/Universitas Indonesia Hospital, Depok, Indonesia
,
Nyityasmono T. Nugroho 
3   Department of Vascular and Endovascular Surgery, Cipto Mangunkusumo Hospital/Universitas Indonesia Hospital, Depok, Indonesia
,
Muhammad Ikhsan
4   Department of Internal Medicine, Cipto Mangunkusumo Hospital/Universitas Indonesia Hospital, Depok, Indonesia
,
Suko Adiarto
2   Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita/Universitas Indonesia Hospital, Depok, Indonesia
› Author Affiliations Funding No funding required.
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Abstract

Since its first discovery in late 2019, coronavirus disease 2019 (COVID-19) has been a global burden associated with significant morbidity and mortality. COVID-19 has been correlated with the development of hypercoagulable state that predisposes the patients to a higher risk of thromboembolism. Current evidence suggests higher incidence of thrombosis, particularly venous thrombosis, among hospitalized COVID-19 patients, mostly with critical illness. On the other hand, there is currently no data regarding the incidence of vivid thrombosis in ambulatory patients with mild COVID-19 and the incidence of concomitant arterial and venous thrombosis in COVID-19 is extremely rare. Herein, we describe catastrophic outcomes of concomitant lower limb arterial and venous thrombosis in a patient with mild COVID-19. This report highlights the occurrence of concomitant arterial and venous thrombosis in ambulatory setting and that this phenomenon resulted in catastrophic clinical consequences.

Keywords

acute limb ischemia - deep vein thrombosis - mild COVID-19 - ischemia-reperfusion injury - thrombectomy - ambulatory - anticoagulation

Authors' Contributions

R.A.N., N.T.N., M.I., and H.S.M. were involved in the management of the presented patient. N.T.N., M.I., H.S.M., and S.A. provided clinical expertise and data interpretation. R.A.N., N.T.N., M.I., H.S.M., and S.A. were involved in the literature search and review processes. R.A.N., N.T.N., M.I., H.S.M., and S.A. contributed in the conception and design of the manuscript. R.A.N. was in charge in writing the initial and revised version of the manuscript. N.T.N., M.I., H.S.M., and S.A. reviewed and approved the final manuscript.




Publication History

Article published online:
01 October 2021

© 2021. International College of Angiology. This article is published by Thieme.

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