Upper Extremity Arterial Thromboembolism in a Coronavirus Patient. A Case Report

SN Compr Clin Med. 2021;3(1):273-278. doi: 10.1007/s42399-020-00694-2. Epub 2021 Jan 7.

Abstract

The coronavirus disease 2019 pandemic has impacted millions of people worldwide. This novel virus has a variety of presentations and complications. Notably, patients with this infection have an associated coagulopathy, presenting with symptoms such as gastrointestinal bleeds, deep vein thrombosis, ischemic cerebrovascular events, and pulmonary embolism. Although there are documented cases of venous thromboembolism in patients with coronavirus disease 2019, the authors present an interesting case of upper extremity arterial thromboembolism in a 75-year-old patient surgically treated for arterial thrombus removal. We also discuss diagnosis, medical management, and surgical approach to an upper extremity arterial thromboembolism in a patient with coronavirus disease 2019, to highlight the challenges of hypercoagulability in such patients.

Keywords: Anticoagulation; Arterial; COVID-19 coronavirus; Coagulopathy; Disseminated intravascular coagulopathy; Hypercoagulability; Pulmonary embolism; Revascularization; Thromboembolism.