Symptomatic Common Carotid Free-Floating Thrombus in a COVID-19 Patient, Case Report and Literature Review

Carotid free-floating thrombus is an uncommon entity that usually presents with neurologic symptoms. Crescendo transient ischemic attack is an accepted indication for urgent carotid endarterectomy. COVID-19 is associated with severe thromboembolic complications. We report the case of a 61-year-old m...

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Detalles Bibliográficos
Autores principales: Cancer-Perez, Susana, Alfayate-García, Jesús, Vicente-Jiménez, Sandra, Ruiz-Muñoz, Manuel, Dhimes-Tejada, Fanny Patricia, Gutiérrez-Baz, Miguel, Criado-Galan, Fernando, Perera-Sabio, Miryam, de Benito-Fernández, Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7955774/
https://www.ncbi.nlm.nih.gov/pubmed/33689754
http://dx.doi.org/10.1016/j.avsg.2021.02.008
Descripción
Sumario:Carotid free-floating thrombus is an uncommon entity that usually presents with neurologic symptoms. Crescendo transient ischemic attack is an accepted indication for urgent carotid endarterectomy. COVID-19 is associated with severe thromboembolic complications. We report the case of a 61-year-old man who developed, 2 weeks after the diagnosis of COVID-19, crescendo transient ischemic attack, complicating a large intraluminal floating thrombus within the right common carotid artery. A carotid thromboendarterectomy under local anesthesia, with patch closure was immediately performed without complications. We conducted a literature review to identify cases of common carotid artery thrombus related to COVID-19. Carotid free-floating thrombus in the common carotid artery is exceptional. However, since the beginning of the COVID-19 pandemic, 15 cases have been published.

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