COVID myocardial involvement presenting as left ventricular aneurysm and clot associated with normal coronary anatomy, deep vein thrombosis, and abnormal brachial artery flow-mediated dilatation.
- Resource Type
- Article
- Authors
- Tayal, Mohit; Dhingra, Vandana; Sharma, Pankaj; Walia, Rohit
- Source
- Journal of Family Medicine & Primary Care. May2022, Vol. 11 Issue 5, p2217-2219. 3p.
- Subject
- *VENOUS thrombosis
*BRACHIAL artery
*CARDIAC magnetic resonance imaging
*ANEURYSMS
*ENDOTHELIUM diseases
- Language
- ISSN
- 2249-4863
A 40-year-old non-diabetic, non-hypertensive male patient presented with complaints of dyspnea of a few days duration and coronavirus -19 disease (COVID) pneumonia. The electrocardiography (ECG) revealed sinus tachycardia with T inversion in V1 only. The ECG revealed a left ventricular aneurysm with a clot and severe left ventricular dysfunction. He had deep vein thrombosis involving the left lower leg. The cardiac magnetic resonance imaging revealed a left ventricular posterodorsal aneurysm with a large clot. Computed tomography angiography revealed normal coronaries and no evidence of pulmonary embolism or aortitis. The d-dimer was raised. A brachial artery Doppler revealed severe impairment of flow-mediated dilatation, suggesting endothelial dysfunction. He was stabilized with anti-platelets and anticoagulants, and diuretics. [ABSTRACT FROM AUTHOR]