Wengerter Sean P, Wengerter Kurt R, Masoudpoor Hassan, Sagarwala Adam, Karim Omar, Rao Nakul, Gillen Jenna, Choi Hung Michael, Bernik Thomas, Schwartz Michael L
Division of Vascular Surgery, Department of Surgery, Montefiore Nyack Hospital, Nyack, NY.
Division of Vascular Surgery, Department of Surgery, Englewood Hospital and Medical Center, Englewood, NY.
J Vasc Surg Cases Innov Tech. 2020 Dec;6(4):698-702. doi: 10.1016/j.jvscit.2020.09.011. Epub 2020 Oct 19.
The novel coronavirus disease 2019 (COVID-19) pandemic is seriously challenging the healthcare system globally. Endothelial damage and increased coagulation activity have been reported in some patients with COVID-19, resulting in a variety of thrombotic events. We report the cases of four patients with various severities of COVID-19 who had presented with acute arterial thrombosis. Although these are rare events, they carry high morbidity and mortality and require prompt diagnosis and treatment. These cases highlight the major life- and limb-threatening clinical sequelae of COVID-19 that frontline medical providers must be aware can occur even in the absence of previous cardiovascular disease.
2019年新型冠状病毒病(COVID-19)大流行正在全球范围内对医疗系统构成严峻挑战。据报道,一些COVID-19患者存在内皮损伤和凝血活性增加的情况,导致了各种血栓形成事件。我们报告了4例不同严重程度COVID-19患者出现急性动脉血栓形成的病例。尽管这些是罕见事件,但它们具有高发病率和死亡率,需要及时诊断和治疗。这些病例凸显了COVID-19严重威胁生命和肢体的主要临床后遗症,一线医疗人员必须意识到,即使在患者既往无心血管疾病的情况下也可能发生。