Acute limb ischemia and aortic mural thrombosis as primary manifestations of SARS-CoV-2
Journal of Vascular Surgery Cases and Innovative Techniques
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.
Szeles, Andras; El-Daher, Nayef; Lachant, Neil; and Rizk, Toufic A., "Acute limb ischemia and aortic mural thrombosis as primary manifestations of SARS-CoV-2" (2021). Rochester Regional Health authored publications and proceedings. 304.