ISQUEMIA AGUDA DE LA EXTREMIDAD INFERIOR COMO POSIBLE COMPLICACION DE COVID-19.

Abstract

Introduction Acute arterial ischemia in lower extremities is a vascular emergency with a high risk of limb loss and elevated morbidity and mortality associated. SARS-COV2 virus infection is usually not related to acute arterial ischemia and its incidence is unknown. World references have been documented such as superficial and deep vein thrombosis and peripheral arterial thrombosis. Case description We present the case of a 69-year-old patient, previous smoker for 15 years, who presented with acute pain in the left lower limb followed by absence of distal and popliteal pulses. Complementary imaging studies demonstrated the absence of left arterial patency from the left femoral artery, raising a diagnosis of acute arterial ischemia of the left lower limb. Threatening acute marginal ischemia (Rutherford IIA) associated with SARS-COV2 infection was considered, for which selective femoral and popliteal embolectomy was performed with further control arteriography. The patient recovers arterial patency in the left lower extremity and was discharged with anticoagulation and analgesia. Postsurgical popliteal wound developed lymphorrhea that subsides with compression measures. In follow-up, the patient has a satisfactory evolution, without signs of ischemia. Conclusion In the medical literature of our country, this is our first case of acute arterial ischemia located in the lower extremities. Diagnosis requires a high degree of clinical suspicion and correct identification. Recommended treatment are surgical and/or pharmacological.