Left Ventricular Thrombus in a Patient Infected by COVID-19


Gozgec E. , Ogul H. , Alay H.

ANNALS OF THORACIC SURGERY, vol.111, no.1, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 111 Issue: 1
  • Publication Date: 2021
  • Doi Number: 10.1016/j.athoracsur.2020.07.008
  • Title of Journal : ANNALS OF THORACIC SURGERY

Abstract

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.