Mechanical thrombectomy of COVID-19 DVT with congenital heart disease leading to phlegmasia cerulea dolens: a case report

BMC Cardiovascular Disorders

Leigh Reardon¹  Gentian Lluri¹  Weiyi Tan¹  Jamil Aboulhosn¹  Jeannette Lin¹  Dingle Foote²  Neema Jamshidi²  John Moriarty³ 

[1] Department of Internal Medicine/Division of Cardiology, UCLA, 757 Westwood Ave, Ste 2125, 90095, Los Angeles, CA, USA;Department of Radiological Sciences, UCLA, 757 Westwood Ave, Ste 2125, 90095, Los Angeles, CA, USA;Department of Radiological Sciences, UCLA, 757 Westwood Ave, Ste 2125, 90095, Los Angeles, CA, USA;Department of Internal Medicine/Division of Cardiology, UCLA, 757 Westwood Ave, Ste 2125, 90095, Los Angeles, CA, USA;

关键词: Femoral and iliac vein thrombosis;    Venous thromboembolism;    Mechanical thrombectomy;    ClotTriever;    Fontan;    Case report;   

DOI  :  10.1186/s12872-021-02403-w

来源: Springer

【 摘 要 】

BackgroundCOVID-19 and Fontan physiology have each been associated with an elevated risk of venous thromboembolism (VTE), however little is known about the risks and potential consequences of having both.Case presentationA 51 year old male with tricuspid atresia status post Fontan and extracardiac Glenn shunt, atrial flutter, and sinus sick syndrome presented with phlegmasia cerulea dolens (PCD) of the left lower extremity in spite of supratherapeutic INR in the context of symptomatic COVID-10 pneumonia. He was treated with single session, catheter directed mechanical thrombectomy that was well-tolerated.ConclusionsThis report of acute PCD despite therapeutic anticoagulation with a Vitamin K antagonist, managed with emergent mechanical thrombectomy, calls to attention the importance of altered flow dynamics in COVID positive patients with Fontan circulation that may compound these independent risk factors for developing deep venous thrombosis with the potential for even higher morbidity.

【 授权许可】

CC BY