Acute thrombotic events as initial presentation of patients with COVID-19 infection

Nicole Ilonzo, MD; Ajit Rao, MD; Kelsey Berger, MD; John Phair, MD; Ageliki Vouyouka, MD; Reid Ravin, MD; Daniel Han, MD; David Finlay, MD; Rami Tadros, MD; Michael Marin, MD; Peter Faries, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2020)

Acute thrombotic events as initial presentation of patients with COVID-19 infection

Nicole Ilonzo, MD,
Ajit Rao, MD,
Kelsey Berger, MD,
John Phair, MD,
Ageliki Vouyouka, MD,
Reid Ravin, MD,
Daniel Han, MD,
David Finlay, MD,
Rami Tadros, MD,
Michael Marin, MD,
Peter Faries, MD

Affiliations

Nicole Ilonzo, MD: Correspondence: Nicole Ilonzo, MD, Mount Sinai Hospital, 1425 Madison Ave, New York, NY 10029; Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Ajit Rao, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Kelsey Berger, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
John Phair, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Ageliki Vouyouka, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Reid Ravin, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Daniel Han, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
David Finlay, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Rami Tadros, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Michael Marin, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY
Peter Faries, MD: Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY

Journal volume & issue: Vol. 6, no. 3
pp. 381 – 383

Abstract

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We describe three patients with COVID-19 who presented with an acute vascular event rather than with typical respiratory symptoms. These patients were all subsequently found to have laboratory-confirmed COVID-19 infections as the likely cause of their thrombotic event. The primary presentation of COVID-19 infection as a thrombotic event rather than with respiratory symptoms has not been described elsewhere. Our cases and discussion highlight the thrombotic complications caused by COVID-19; we discuss management of these patients and explore the role of anticoagulation in patients diagnosed with COVID-19.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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