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Extensive right coronary artery thrombosis in a patient with COVID-19:A case report

World Journal of Clinical Cases 2022年第31期10卷 11508-11516页

作者： Clarissa Campo Dall’Orto Rubens Pierry Ferreira Lopes mariana torres cancela Ciria de Sales Padilha Gilvan Vilella Pinto Filho Marcos Raphael da Silva Therapy Center Brazilian Society of Health Support HospitalTeixeira de Freitas 45987-088BahiaBrazil Department of Cardiology Deputy Luis Eduardo Magalhães HospitalPorto Seguro 45810-000BahiaBrazil Intensive Care Unit Medical Assistance Extreme South HospitalEunápolis 45820-131BahiaBrazil

BACKGROUND Occurring in approximately 30%of hospitalized patients,cardiovascular complications that take place during the course of coronavirus disease 2019(COVID-19)have been shown to cause morbidity and *** case is the first report of extensive right coronary artery(RCA)thrombosis that was evaluated by intracoronary imaging and intracoronary invasive physiology in a patient with *** SUMMARY A 62-year-old woman presented with flu-like symptoms;ten days later,she presented with inferior ST-segment elevations,chest pain,dyspnea,nausea and *** patient was diagnosed with COVID-19 following a positive test *** angiography of the RCA and its branches indicated intraluminal filling defects,suggesting a *** ultrasound confirmed a subacute thrombus in the RCA,the right posterior descending branch and the right posterior ventricular(RPV)*** was also an acute thrombus in the RPV branch and atherosclerosis in the *** antiplatelet/anticoagulation therapy was *** 7 d,angiography revealed complete disappearance of the *** coherence tomography confirmed this with the exception of a small thrombus in the RPV branch and atherosclerotic plaque in the *** atherosclerotic RCA was measured using the resting fullcycle ratio,indicating no impairment to coronary *** patient was discharged on the 11^(th) day of hospitalization and remained asymptomatic through the 6-mo *** This was the first report of RCA thrombosis in a patient with *** antiplatelet/anticoagulation therapy was successful.

关键词： Acute coronary syndrome Coronary angiography COVID-19,Intravascular ultrasound Thrombosis Case report

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