Acute limb ischemia and aortic mural thrombosis as primary manifestations of SARS-CoV-2

Authors

Andras Szeles, Rochester Regional HealthFollow
Nayef El-Daher, University of Rochester
Neil Lachant, Rochester Regional Health
Toufic A. Rizk

Department

Medicine

Document Type

Article

Publication Title

Journal of Vascular Surgery Cases and Innovative Techniques

Abstract

Variable clinical presentation is emerging as a hallmark of the novel coronavirus, SARS-CoV-2. In addition to hypoxic respiratory failure, multiorgan dysfunction and septic shock, there are significant thromboembolic complications posited to be a result of diffuse coagulopathy associated with this viral infection. We report on a unique primary manifestation of SARS-CoV-2 infection presenting as acute limb ischemia and aortic mural thrombosis without clinical evidence of pulmonary disease. Despite best attempts at limb salvage with therapeutic anticoagulation, emergent aorto-iliac and distal embolectomies, the patient developed bilateral dry gangrene and ultimately required lower extremity amputations.

DOI

doi: 10.1016/j.jvscit.2021.07.006.

Publication Date

7-23-2021

Recommended Citation

Szeles, A., El-Daher, N., Lachant, N., & Rizk, T. A. (2021). Acute limb ischemia and aortic mural thrombosis as primary manifestations of SARS-CoV-2. Journal of Vascular Surgery Cases and Innovative Techniques https://doi.org/doi: 10.1016/j.jvscit.2021.07.006.