Akademik Veri Yönetim Sistemi
ANNALS OF THORACIC SURGERY, cilt.111, sa.1, 2021 (SCI-Expanded)
A74-year-old woman presented with generalized
malaise with nausea and vomiting. The patient had
no known systemic disease, history of trauma, or medication. On physical examination, the patient was
confused and had abdominal tenderness. The chest
roentgenogram showed cardiomegaly and bilateral
pleural effusions. Computed tomography (CT) of the
chest (Figure 1A) showed bilateral pleural effusions (black
asterisks), consolidated areas with air bronchograms in
the right hilar region (white arrow) and ground-glass
densities in some peripheral locations (black arrows). In
soft tissue window images (Figures 1B, 1C) abnormal
enlargement of the left ventricular apex (white arrow) and
a hypodense appearance (white asterisks) that could be
compatible with thrombus were remarkable. On the basis
of the present findings, the patient was given a diagnosis
of multiple organ failure resulting from possible coronavirus disease 2019 (COVID-19). COVID-19 diagnosis of
the patient could not be confirmed by test. She was
intubated and taken to the intensive care unit. The patient
became ex despite all efforts.
COVID-19, which has been declared a pandemic by the
World Health Organization, has a variable clinical spectrum ranging from asymptomatic carriers to patients with
multiple organ failure. Patients with COVID-19 have
been shown to be susceptible to thrombus, which has
frequently been found in the pulmonary arteries.1,2
Ventricular thrombus, as in our case, is a very rare
condition.