Yagi Moeka, Kimura Naoyuki, Nakano Mitsunori, Okabe Naota, Shiraishi Manabu, Okamura Homare, Oshiro Hisashi, Yamaguchi Atsushi
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.
Department of Pathology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.
Ann Vasc Dis. 2024 Sep 25;17(3):287-291. doi: 10.3400/avd.cr.24-00007. Epub 2024 Jun 1.
A 53-year-old woman visited her district hospital complaining of right lower limb numbness 8 days after being diagnosed with COVID-19. She had been suffering diarrhea for 25 days before the hospital visit. Computed tomography showed multiple arterial and venous thromboses, and anticoagulation with a therapeutic dose of heparin was initiated. Acute aortic occlusion occurred on hospital day 5, and balloon thromboembolectomy was performed for revascularization of the lower limbs 9 hours after onset. Ulcerative colitis was diagnosed on postoperative day 7. With the anticoagulation and immunosuppression therapy, no thromboembolic event occurred postoperatively.
一名53岁女性在被诊断为新冠肺炎8天后,因右下肢麻木前往当地医院就诊。在就诊前她已腹泻25天。计算机断层扫描显示多处动静脉血栓形成,遂开始给予治疗剂量的肝素进行抗凝治疗。住院第5天发生急性主动脉闭塞,发病9小时后进行了球囊血栓切除术以实现下肢血管再通。术后第7天诊断为溃疡性结肠炎。经过抗凝和免疫抑制治疗,术后未发生血栓栓塞事件。