Title

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

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

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