Pulmonary Vein Thrombosis in COVID-19

Stephanie A Goddard; Daniel Q Tran; Michael F Chan; Michelle N Honda; Mandy C Weidenhaft; Benjamin L Triche

doi:10.1016/j.chest.2020.11.064

Pulmonary Vein Thrombosis in COVID-19

Chest. 2021 Jun;159(6):e361-e364. doi: 10.1016/j.chest.2020.11.064.

Authors

Stephanie A Goddard¹, Daniel Q Tran², Michael F Chan², Michelle N Honda², Mandy C Weidenhaft², Benjamin L Triche²

Affiliations

¹ Department of Radiology, Tulane University Health Sciences Center, New Orleans, LA. Electronic address: sgoddard@tulane.edu.
² Department of Radiology, Tulane University Health Sciences Center, New Orleans, LA.

Abstract

Research on COVID-19, the cause of a rapidly worsening pandemic, has led to the observation of laboratory derangements such as a propensity towards a hypercoagulable state. However, there are currently no reports on the incidence of pulmonary venous thrombosis in the setting of COVID-19. We report a case in which follow-up chest CT scans revealed an expansile filling defect in a branch of the right inferior pulmonary vein, which is consistent with pulmonary venous thrombosis. Our objective was to provide insight into an uncommon sequela of COVID-19 and consequently garner increased clinical suspicion for pulmonary VTE during hospitalization.

Keywords: COVID-19; imaging; pulmonary; thrombosis.

Publication types

Case Reports

MeSH terms

Adult
COVID-19 / complications*
COVID-19 / diagnosis
COVID-19 / therapy
Humans
Male
Pulmonary Veins*
Tomography, X-Ray Computed
Venous Thrombosis / diagnosis*
Venous Thrombosis / therapy
Venous Thrombosis / virology*