Extensive Left Ventricular Thrombosis after Recovery from COVID-19: A Case Report

Shafigh, Navid; Roodneshin, Fatemeh; Hasheminik, Morteza; Shafigh, Elnaz; Shahrabadi, Hosein; Niknezhad Jalali, Arezou; Gharehbeglou, Mohammad; Alipour, Hale; Ordoni Avval, Jamshid; Hashemian, Seyed MohammadReza

Extensive Left Ventricular Thrombosis after Recovery from COVID-19: A Case Report

Document Type : Case Report

Authors

Navid Shafigh ¹

Fatemeh Roodneshin ¹

Morteza Hasheminik ²

Elnaz Shafigh ³

Hosein Shahrabadi ⁴

Arezou Niknezhad Jalali ²

Mohammad Gharehbeglou ¹^{, 5}

Hale Alipour ⁶

Jamshid Ordoni Avval ⁵

Seyed MohammadReza Hashemian ⁷

¹ Department of Anesthesiology and Critical Care Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran

² Department of Nursing, Sabzevar Branch, Islamic Azad University, Sabzevar, Iran

³ Department of Operative, Faculty of Dentistry, AJA University of Medical Science, Tehran, Iran

⁴ Department of Nursing, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran

⁵ Department of Anesthesiology and Critical Care Medicine, Zahedan University of Medical Science, Zahedan, Iran

⁶ Student Research Committee, Shahid Beheshti University of Medical Science, Tehran, Iran

⁷ Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Coagulation disorder is common among COVID-19 patients, particularly those afflicted with the severe form of the disease. Manifestations of thrombotic complications such as pulmonary embolism, deep vein thrombosis (DVT), ischemic stroke, cardiac infarction and arterial embolism is high in COVID-19 patients which have been assessed in various studies (5).It seems that COVID-19-related coagulopathy is a combination of low-grade DIC and pulmonary thrombotic microangiopathy which can have a significant effect on organ dysfunction in patients with severe COVID-19 (6). Numerous complications have been reported following COVID-19 disease. Although the disease often improves after going through various clinical phases, some people have short-term or long-term complications including coagulationdisorders.
This case report presents an unusual instance of extensive left ventricular thrombosis in a patient who had recently recovered from COVID-19, despite being on anticoagulant prophylaxis.

Keywords

Thrombosis

COVID-19

Anti-Coagulant prophylaxis

Subjects