A Probable Covid-19 Case Presented with Acute Upper Limb İschemia

Abstract

The arterial revascularization procedure is still a challenging issue in Covid-19 associated limb ischemia. Herein we aimed to present a case of a 64 year-old woman with acute ischemic signs in upper extremity who was diagnosed as a probable Covid-19 case incidentally after admission. Although late admission and failed recurrent embolectomies lead to an eventful course, intra-arterial thrombolysis seemed to present a benefitable treatment option for our patient.

Fig. 1

(A) The cyanosis at the palmar surface of the hand and the fingers on admission. (B,C) The cyanosis was limited to the distal phalanges on the 12th day. 1.d.e. The necrotic areas at the distal phalanges before the amputation of the fifth finger and the debridement of the second, third and fourth fingers.

Fig. 2

(A) Computed tomography, axial image, right arrow: the ground glass opacities in lungs. (B) Computed tomography angiography, axial image, right arrow: the ground glass opacities in lungs; left arrow: floating thrombus in aorta.