Right Heart Thrombus in an Adult COVID-19 Patient: A Case Report
Artikel-Kategorie: Case Report
Online veröffentlicht: 07. Nov. 2020
Seitenbereich: 237 - 242
Eingereicht: 23. Mai 2020
Akzeptiert: 21. Okt. 2020
DOI: https://doi.org/10.2478/jccm-2020-0039
Schlüsselwörter
© 2020 Enrico Merlo, Giuseppe Grutta, Ivo Tiberio, Gabriele Martelli, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Introduction
Right heart thrombus (RiHTh) can be considered a rare and severe condition associated with thromboembolic phenomena. A case is described of a COVID-19 patient presenting with an isolated thrombus in the right ventricle.
Case presentation
An 80-years-old Caucasian male was admitted in an intensive care unit (ICU) for COVID-19 related acute respiratory distress syndrome. The patient showed signs of hemodynamic instability, elevated cardiac troponin I and altered coagulation. On further assessment, a thrombotic mass near the apex of the right ventricle was detected. Moreover, the apex and the anteroseptal wall of the right ventricle appeared akinetic. Following the administration of a therapeutic dose of unfractionated heparin over a forty-eight hour period, re-evaluation of the right chambers showed that the thrombotic mass had resolved entirely.
Conclusion
COVID-19 patients could constitute a population at risk of RiHTh. Routine use of echocardiography and a multidisciplinary approach can improve the management of this condition.