POST-COVID-19 RECURRENT LOWER LIMB ISCHEMIA IN HEALTHY YOUNG PATIENT

Abstract

Background: Although SARS-CoV-2 infection is primarily a respiratory illness, complications such as arterial and venous thromboembolism have been reported during acute infection and in the period after its resolution.

Methods: We report the case of a 33-year old male 33-year-old male, previously healthy patient with acute recurrent unilateral arterial thrombosis of the leg occurring one month after a mild Covid-19 infection.

Results: The patient has recently been diagnosed with essential hypertension and did not have other known risk factors for arterial thrombosis. He was presented to the Emergency Department with a pale foot and absent dorsal pedal pulse and after confirmed arterial occlusion by Doppler ultrasound, he underwent urgent thromboembolectomy. The following day a computed tomography angiogram showed recurrent thrombosis of the superficial femoral artery which was then resolved in an Angio-suite by balloon dilatation. Three months later he experienced another occlusion of left superficial femoral artery based on pronounced neointimal hyperplasia and again underwent endarterectomy with patch plastic.

Conclusion: SARS-Cov-2 infection should be considered a risk factor in the development of both arterial and venous thrombosis during the acute phase and the post-infective period.