de Godoy Jose Maria Pereira, Marum Guilherme, Santos Henrique Amorim, da Silva Mariana Orate Menezes, da Silva Fernanda Cordeiro
Department of Cardiovascular Surgery, Medicine School, Sao Jose do Rio Preto-FAMERP, Brazil.
Department General Surgery, Medicine School, Sao Jose do Rio Preto-FAMERP, Brazil.
Int J Health Sci (Qassim). 2022 Jul-Aug;16(4):70-72.
The current evidence suggests a state of hypercoagulability as one of the sequelae of hyperinflammation. Thus, it is an important pathogenic mechanism that contributes to increase the mortality caused by COVID-19. The aim of the present study is to report chronic arterial insufficiency after post-thrombosis in the same arteries 32 days later, as a sequel after severe acute respiratory syndrome coronavirus 2 P.1. After the 2 day of discharge, she had a lot of pain in her left and limiting leg and was referred to the vascular service. The patient was evaluated by vascular surgery who underwent a clinical diagnosis of Rutherford II.A arterial thrombosis and underwent arteriography of the limb that revealed thrombosis of the anterior, posterior, and fibular arteries in the middle third and the plantar arch was not contrasted. She underwent emergency embolectomy with selective isolation of the tibial arteries, but with success after the procedure only for the posterior tibial artery. Anticoagulation was maintained and 100 mg aspirin was associated.
目前的证据表明，高凝状态是炎症反应过度的后遗症之一。因此，这是一种重要的致病机制，会导致新型冠状病毒肺炎（COVID-19）死亡率上升。本研究的目的是报告在感染严重急性呼吸综合征冠状病毒2 P.1亚型32天后，同一动脉血栓形成后出现的慢性动脉供血不足。出院两天后，她左下肢疼痛剧烈且活动受限，遂被转诊至血管外科。血管外科对该患者进行了评估，临床诊断为卢瑟福II.A级动脉血栓形成，并对其肢体进行了动脉造影，结果显示小腿中1/3段的胫前动脉、胫后动脉和腓动脉均有血栓形成，足底动脉弓未显影。她接受了急诊栓子切除术，并对胫动脉进行了选择性隔离，但术后仅胫后动脉再通成功。术后继续进行抗凝治疗，并加用100毫克阿司匹林。
