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Case Reports
. 2020 Jun 17;6(3):348-351.
doi: 10.1016/j.jvscit.2020.06.001. eCollection 2020 Sep.

Arterial thromboembolism associated with COVID-19 and elevated D-dimer levels

Karan Garg  1 , Michael E Barfield  1 , Michael L Pezold  1 , Mikel Sadek  1 , Neal S Cayne  1 , Joanelle Lugo  1 , Thomas S Maldonado  1 , Todd L Berland  1 , Caron B Rockman  1 , Glenn R Jacobowitz  1
Affiliations
Case Reports

Arterial thromboembolism associated with COVID-19 and elevated D-dimer levels

Karan Garg et al. J Vasc Surg Cases Innov Tech. .

Abstract

The novel coronavirus 2019 (SARS-CoV-2) was first identified in January 2020 and has since evolved into a pandemic affecting >200 countries. The severity of presentation is variable and carries a mortality between 1% and 3%. We continue to learn about the virus and the resulting acute respiratory illness and hypercoagulability; however, much remains unknown. In our early experience in a high-volume center, we report a series of four cases of acute peripheral artery ischemia in patients with COVID-19 in the setting of elevated D-dimer levels.

Keywords: Arterial thromboembolism; COVID-19; D-dimer.

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Figures

Fig 1
Fig 1
Computed tomography (CT) angiography demonstrating right popliteal embolus (arrow).
Fig 2
Fig 2
Ultrasound image demonstrating left popliteal embolus (arrow).
Fig 3
Fig 3
Computed tomography (CT) angiography demonstrating mural thrombus (arrow) in the descending thoracic aorta.
See this image and copyright information in PMC

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