[HTML][HTML] Acute cor pulmonale from saddle pulmonary embolism in a patient with previous COVID-19: should we prolong prophylactic anticoagulation?

S Ali, S Mathew, JM Pappachan - International Journal of Infectious …, 2020 - Elsevier
S Ali, S Mathew, JM Pappachan
International Journal of Infectious Diseases, 2020Elsevier
Abstract Severe coronavirus disease 2019 (COVID-19) is known to be associated with a
heightened risk of thromboembolism. However, the risk associated with mild and moderate
illness from COVID-19 is unknown, and there is no current recommendation for prophylaxis
against thromboembolism in patients after hospital treatment, unless there are established
thrombophilic risk factors. We report the case of a 52-year-old woman who presented with
massive saddle pulmonary embolism 1 week after initial hospital discharge, which was …
Abstract
Severe coronavirus disease 2019 (COVID-19) is known to be associated with a heightened risk of thromboembolism. However, the risk associated with mild and moderate illness from COVID-19 is unknown, and there is no current recommendation for prophylaxis against thromboembolism in patients after hospital treatment, unless there are established thrombophilic risk factors. We report the case of a 52-year-old woman who presented with massive saddle pulmonary embolism 1 week after initial hospital discharge, which was treated successfully with thrombolysis. This case raises the question of whether extended prophylactic anticoagulation should be considered even in low-risk COVID-19 cases.
Elsevier
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