Aissaoui Ouissal, Husam Salem, Mounir Anass, Benouna El Ghali, Benmallem Othmane, El Kettani Chafik, Barrou Lahoucine
Department of Intensive Care and Anesthesiology, Ibn Rochd University Hospital, Laboratory of Clinical Immunology, Inflammation and Allergy (LICIA), Hassan II University of Casablanca Morocco.
Department of Cardiology, Ibn Rochd University Hospital, Hassan II University of Casablanca Morocco.
Am J Cardiovasc Dis. 2022 Jun 15;12(3):149-152. eCollection 2022.
The COVID-19, actual pandemic due to SARS COV 2 is associated with numerous thromboembolic complications. Although venous thrombosis including pulmonary embolisms have been widely described, arterial localization seems rarely reported. Acute limb ischemia and myocardial infarction are two major consequences of arterial thrombosis and their concomitant occurrence among COVID-19 patients is extremely rare. It is an evident aspect of hypercoagulability and a real challenge to physicians. We herein describe the management of a 77 years old COVID-19 patient presenting an acute lower limb ischemia with concomitant myocardial infarction. He underwent coronary angiography with subsequent stent placement then was transferred to the operating room where a thrombectomy was performed. The outcome was poor as the cardiogenic shock persisted in addition to a reperfusion syndrome with multiorgan failure.
由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引发的2019冠状病毒病（COVID-19）大流行与众多血栓栓塞并发症相关。尽管包括肺栓塞在内的静脉血栓形成已被广泛描述，但动脉血栓形成似乎鲜有报道。急性肢体缺血和心肌梗死是动脉血栓形成的两个主要后果，它们在COVID-19患者中同时出现极为罕见。这是高凝状态的一个明显表现，对医生来说是一项真正的挑战。我们在此描述了一名77岁COVID-19患者的治疗情况，该患者出现急性下肢缺血并伴有心肌梗死。他接受了冠状动脉造影及随后的支架置入术，然后被转至手术室进行血栓切除术。结果不佳，因为除了出现多器官功能衰竭的再灌注综合征外，心源性休克持续存在。
