de Godoy Jose Maria Pereira, Neto Fernando Reis, da Silva Gabriela Leopoldino, Santos Henrique Amorim, de Godoy Henrique Jose Pereira
Cardiovascular Surgery Department in Medicine School of Sao Jose do Rio Preto-FAMERP-Brazil, Brazil.
Undergraduate Medicine Course and Stricto-Sensu Postgraduate Course-FAMERP-Brazil, Brazil.
Case Rep Surg. 2023 Oct 25;2023:3562145. doi: 10.1155/2023/3562145. eCollection 2023.
Aortic thrombosis has been studied little in patients with COVID-19 and an association has recently been reported with the vaccine for this disease. The aim of the present study is to report five cases of aortic thrombosis at our institution within a three-month period associated with the COVID-19 vaccine. Five cases of aortic thrombosis were evaluated-three women and two men aged 29, 49, 51, 60, and 79 years. Four thrombi involved the thoracic aortic and one involved the abdominal aorta, with embolisms found in the kidneys, spleen, liver, upper limbs, and lower limbs. Embolectomy was performed on the limbs, and anticoagulant therapy was performed for the abdominal arteries. The patients recovered well and anticoagulant therapy was maintained. Aortic thrombosis is uncommon but was associated with the AstraZeneca vaccine in this case series.
在新冠肺炎患者中,主动脉血栓形成的研究较少,最近有报道称其与该疾病的疫苗有关。本研究的目的是报告在我们机构三个月内发生的五例与新冠疫苗相关的主动脉血栓形成病例。对五例主动脉血栓形成病例进行了评估,其中三名女性和两名男性,年龄分别为29岁、49岁、51岁、60岁和79岁。四个血栓累及胸主动脉,一个累及腹主动脉,在肾脏、脾脏、肝脏、上肢和下肢发现了栓子。对四肢进行了栓子切除术,对腹主动脉进行了抗凝治疗。患者恢复良好,维持了抗凝治疗。主动脉血栓形成并不常见,但在本病例系列中与阿斯利康疫苗有关。