• BMJ case reports · Aug 2020

    Case Reports

    Catheter-directed thrombolysis to treat acute pulmonary thrombosis in a patient with COVID-19 pneumonia.

    • Laura Pendower, Giulia Benedetti, Karen Breen, and Narayan Karunanithy.
    • Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
    • BMJ Case Rep. 2020 Aug 11; 13 (8).

    AbstractWe describe a case of a patient who presented to the emergency department with severe shortness of breath and was diagnosed with mild COVID-19 pneumonia and concomitant intermediate-high risk saddle pulmonary thromboembolism. Additionally, the patient had sustained a significant head injury 2 days prior due to a syncopal episode. The patient was treated successfully with catheter-directed thrombolysis (CDT). The case highlights the importance of considering thromboembolic complications in COVID-19 infection, independent of the severity of the associated pneumonia. The case also demonstrates the potential benefit of CDT in treating COVID-19-related thromboembolism.© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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