ABSTRACT
The occurrence of arterial and venous thrombosis during coronavirus infection has been widely reported since the beginning of the epidemic. Floating carotid thrombus (FCT) in the common carotid artery is exceptional and its main known cause is atherosclerosis. We describe the case of a 54-year-old man who developed, one week after the onset symptomatology of related to COVID-19 infection, an ischemic stroke, complicating a large intraluminal floating thrombus in the left common carotid artery. Despite surgery and anticoagulation, a local recurrence with other thrombotic complications occurred and the patient died.
Subject(s)
COVID-19 , Thrombosis , Male , Humans , Middle Aged , COVID-19/complications , Carotid Artery, Common/diagnostic imaging , Carotid Artery, Common/surgery , Thrombosis/diagnostic imaging , Thrombosis/drug therapy , Thrombosis/etiology , Carotid Arteries , Blood CoagulationSubject(s)
Iliac Vein/abnormalities , Pelvis/blood supply , Varicose Veins/etiology , Vascular Malformations/complications , Venous Insufficiency/etiology , Adult , Chronic Disease , Female , Humans , Iliac Vein/diagnostic imaging , Iliac Vein/physiopathology , Regional Blood Flow , Varicose Veins/diagnostic imaging , Varicose Veins/physiopathology , Varicose Veins/therapy , Vascular Malformations/diagnostic imaging , Vascular Malformations/physiopathology , Venous Insufficiency/diagnostic imaging , Venous Insufficiency/physiopathology , Venous Insufficiency/therapySubject(s)
Brain Ischemia/etiology , Stroke/etiology , Vertebrobasilar Insufficiency/complications , Brain Ischemia/diagnostic imaging , Brain Ischemia/drug therapy , Humans , Male , Middle Aged , Platelet Aggregation Inhibitors/therapeutic use , Stroke/diagnostic imaging , Stroke/drug therapy , Treatment Outcome , Vertebrobasilar Insufficiency/diagnostic imaging , Vertebrobasilar Insufficiency/drug therapyABSTRACT
We report here a case of aorto-cava fistula complicating the rupture of a sub-renal aortic aneurysm into the inferior vena cava, which is a rare complication of aortic abdominal aneurysms with often-fatal outcome. Abdominal computed tomography with multi-planar reconstructions remains the firstline-imaging tool allowing positive diagnosis and preoperative planning. Treatment may be surgical or endovascular.