Acute thrombotic occlusion involving three coronary arteries. A unique association with COVID-19 pneumonia

Clin Case Rep. 2023 Aug 15;11(8):e7803. doi: 10.1002/ccr3.7803. eCollection 2023 Aug.

Abstract

Key clinical message: Respiratory viruses, particularly COVID-19, can be associated with severe cases of myocardial infarction (MI). Physicians should have a low threshold for MI in COVID-19 patients who present with persistent chest pain as MI in rapidly deteriorating cases can be missed. Prompt response includes both timely diagnosis and swift treatment.

Abstract: The coronavirus disease 2019 (COVID-19) is associated with coronary artery thrombosis. Many cases of single-vessel and few cases of two-vessel thrombosis were reported. Herein, we report a unique association in a middle-aged man diagnosed with COVID-19 and presented later with acute myocardial infarction causing cardiogenic shock. The patient was found to have three-vessel thrombosis.

Keywords: COVID‐19; SARS‐CoV‐2; coronary artery disease; myocardial infarction; thrombosis.

Publication types

  • Case Reports