伴发急性肢体缺血和心肌梗死:新冠肺炎高凝性的又一挑战

IF 1.3
American journal of cardiovascular disease Pub Date : 2022-06-15 eCollection Date: 2022-01-01
Ouissal Aissaoui, Salem Husam, Anass Mounir, El Ghali Benouna, Othmane Benmallem, Chafik El Kettani, Lahoucine Barrou
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引用次数: 0

摘要

由SARS - COV - 2引起的COVID-19实际大流行与许多血栓栓塞并发症有关。虽然包括肺栓塞在内的静脉血栓已被广泛报道,但动脉定位似乎很少报道。急性肢体缺血和心肌梗死是动脉血栓形成的两大主要后果,在COVID-19患者中合并发生极为罕见。这是高凝性的一个明显方面,对医生来说是一个真正的挑战。我们在此描述了一位77岁的COVID-19患者急性下肢缺血并发心肌梗死的处理方法。他接受了冠状动脉造影,随后放置了支架,然后被转移到手术室进行了血栓切除术。结果很差,因为心源性休克持续存在,再灌注综合征伴多器官衰竭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Concomitant acute limb ischemia and myocardial infarction: another challenge of COVID-19's hypercoagulability.

Concomitant acute limb ischemia and myocardial infarction: another challenge of COVID-19's hypercoagulability.

Concomitant acute limb ischemia and myocardial infarction: another challenge of COVID-19's hypercoagulability.

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.

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来源期刊
American journal of cardiovascular disease
American journal of cardiovascular disease CARDIAC & CARDIOVASCULAR SYSTEMS-
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