Intra cardiac thrombus in critically ill patient with coronavirus disease 2019: Case report.

Ann Med Surg (Lond)

Intensive Care Unit, Mohammed VI University Hospital Center, Mohammed first University, Faculty of medicine and pharmacy, Oujda, Morocco.

Published: June 2021

Introduction: With the outbreak of COVID-19, the number of cardiac manifestations related to this virus was more remarquable, among them heart thrombus (HTh) which is considered as a rare and severe complication associated with thromboembolic phenomena.

Methods: We present case report of 4 patients who presented heart thrombus as a complication of COVID-19.

Cases Report Management: During the pandemic, these patients were presented to our center for respiratory symptoms related to COVID-19 infection. All of them was hemodynamically unstable. On further assessment, Diagnosis was confirmed by trans -thoracic echography, one patient (1/4) had left ventricle thrombus, one patient (1/4) had right atrium thrombus and right ventricle thrombus was dominated in the rest of patients (2/4). Therapeutic component was based on unfractionated heparin and fibrinolytic.

Conclusion: COVID-19 patients could represent a population at high risk of HTh. Multidisciplinary approach and bed routine transthoracic echography can enhance the management of this cardiac complication.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153961PMC
http://dx.doi.org/10.1016/j.amsu.2021.102434DOI Listing

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