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Int J Angiol 2023; 32(04): 296-298
DOI: 10.1055/s-0043-1767762
Case Report

Incidental Finding of Arteria Lusoria in COVID-19 Patient with Aortic Thrombus Complicated by Recurrent Limb Ischemia

Soumer Khedija
1   Department of Cardiovascular Surgery, Abderrahmen Mami Pneumology and Phtisiology Hospital, Ariana, Tunisia
,
Azabou Nadia
1   Department of Cardiovascular Surgery, Abderrahmen Mami Pneumology and Phtisiology Hospital, Ariana, Tunisia
,
Horchani Houcine
1   Department of Cardiovascular Surgery, Abderrahmen Mami Pneumology and Phtisiology Hospital, Ariana, Tunisia
,
Bousnina Mouna
1   Department of Cardiovascular Surgery, Abderrahmen Mami Pneumology and Phtisiology Hospital, Ariana, Tunisia
,
Jemel Amine
1   Department of Cardiovascular Surgery, Abderrahmen Mami Pneumology and Phtisiology Hospital, Ariana, Tunisia
2   University of Tunis El Manar Faculty of Medicine of Tunis, Tunis, Tunisia
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Abstract

Coronavirus disease causes a hypercoagulable state with endothelial inflammation. These conditions can produce embolic complications. Thrombosis can occur in different locations and may lead to ischemic stroke and ischemic limb.

We report the case of a 64-year-old woman with recent severe acute respiratory syndrome coronavirus 2 pneumonia who was admitted to the hospital due to a giant floating thrombus in the ascending aorta with multiple ischemic events. Aortic computed tomography angiogram revealed an aberrant right subclavian artery associated with bicarotid trunk that might have protected carotid arteries from embol migration. Thrombosis is a rare clinical presentation in coronavirus disease 2019 infection but with serious complications that must be kept in mind to detect and avoid morbidities like ischemic stroke.

Keywords

thrombosis - aortic disease - acute limb ischemia - arteria lusoria - COVID-19 - anticoagulation - embolectomy


Publication History

Article published online:
12 June 2023

© 2023. International College of Angiology. This article is published by Thieme.

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