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Tanaffos، جلد ۲۲، شماره ۲، صفحات ۲۶۸-۲۷۱
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عنوان انگلیسی Fatal Large Intracardiac in Situ Thrombus in a Mildly Symptomatic COVID-19 Patient: A Case Report
چکیده انگلیسی مقاله Background: The coronavirus disease 2019 (COVID-19) has caused a global pandemic with a significant negative impact on health worldwide. Although it primarily involves the respiratory tract system, cardiovascular complications, particularly thrombotic events are increasingly reported and are associated with adverse outcomes. Case Summary: We describe a 30-year-old male who presented with exaggerated dyspnea and hypoxia with mild constitutional symptoms along with a positive PCR test for SARS-CoV-2. He was a known case of bronchiectasis and large bullae in the left lung. Transthoracic echocardiography showed a large right ventricle (RV) mass entrapped within RV papillary muscles and apex. Cardiac MRI was suggestive of RV thrombosis. Regarding diffuse underlying lung disease and improving respiratory symptoms with COVID-19 negative PCR test, we decided to prescribe anticoagulation with heparin infusion and then oral anticoagulant with Rivaroxaban 20 mg daily and follow up after 30 days. Unfortunately, the patient died after 2 weeks in his hometown. Conclusion: Thrombotic complications are frequently encountered in COVID-19 patients. We report a fatal case of large intracardiac thrombus associated with SARS-CoV-2 infection managed with anticoagulant therapy with a catastrophic outcome.
کلیدواژه‌های انگلیسی مقاله Intracardiac thrombus, Thrombosis COVID-19
نویسندگان مقاله Neda Behzadnia |
Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran

Farah Naghashzadeh |
Lung Transplantation Research Center, NRITLD ,Shahid Beheshti University of Medical Sciences ,Tehran, Iran

Mohammad Sadegh Keshmiri |
Chronic Respiratory Diseases Research Center ,National Research Institute of Tuberculosis and Lung Diseases (NRILD) , Shahid Beheshti University of Medical Sciences, Tehran ,Iran.

نشانی اینترنتی https://www.tanaffosjournal.ir/article_711931_9d5894002a580755a991fdc32391fdc7.pdf
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