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A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy

Coronavirus disease 2019 (COVID-19) has been widely reported to be associated with increased risk of Venous Thromboembolism, both deep vein thrombosis (DVT) and pulmonary embolism. A rare and extreme manifestation of DVT is Phlegmasia cerulea dolens, characterized by poor tissue perfusion due to mar...

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Autores principales: Gutierrez, Josue R., Volteas, Panagiotis, Skripochnik, Edvard, Tassiopoulos, Apostolos K., Bannazadeh, Mohsen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502248/
https://www.ncbi.nlm.nih.gov/pubmed/34644637
http://dx.doi.org/10.1016/j.avsg.2021.07.034
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author Gutierrez, Josue R.
Volteas, Panagiotis
Skripochnik, Edvard
Tassiopoulos, Apostolos K.
Bannazadeh, Mohsen
author_facet Gutierrez, Josue R.
Volteas, Panagiotis
Skripochnik, Edvard
Tassiopoulos, Apostolos K.
Bannazadeh, Mohsen
author_sort Gutierrez, Josue R.
collection PubMed
description Coronavirus disease 2019 (COVID-19) has been widely reported to be associated with increased risk of Venous Thromboembolism, both deep vein thrombosis (DVT) and pulmonary embolism. A rare and extreme manifestation of DVT is Phlegmasia cerulea dolens, characterized by poor tissue perfusion due to marked limb swelling which can progress to limb and life-threatening venous gangrene. We report the case of a 53-year-old man with severe SARS-CoV2 pneumonia who developed acute iliofemoral DVT leading to acute limb ischemia due to Phlegmasia cerulea dolens. The patient underwent successful emergent fasciotomy and mechanical thrombectomy with removal of extensive thrombus burden and restoration of normal venous circulation. Our case highlights the importance of clinical vigilance and early implementation of therapeutic interventions to avoid adverse outcomes in patients who develop SARS-CoV2 induced Venous Thromboembolism complications.
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spelling pubmed-85022482021-10-12 A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy Gutierrez, Josue R. Volteas, Panagiotis Skripochnik, Edvard Tassiopoulos, Apostolos K. Bannazadeh, Mohsen Ann Vasc Surg Article Coronavirus disease 2019 (COVID-19) has been widely reported to be associated with increased risk of Venous Thromboembolism, both deep vein thrombosis (DVT) and pulmonary embolism. A rare and extreme manifestation of DVT is Phlegmasia cerulea dolens, characterized by poor tissue perfusion due to marked limb swelling which can progress to limb and life-threatening venous gangrene. We report the case of a 53-year-old man with severe SARS-CoV2 pneumonia who developed acute iliofemoral DVT leading to acute limb ischemia due to Phlegmasia cerulea dolens. The patient underwent successful emergent fasciotomy and mechanical thrombectomy with removal of extensive thrombus burden and restoration of normal venous circulation. Our case highlights the importance of clinical vigilance and early implementation of therapeutic interventions to avoid adverse outcomes in patients who develop SARS-CoV2 induced Venous Thromboembolism complications. Elsevier Inc. 2022-02 2021-10-10 /pmc/articles/PMC8502248/ /pubmed/34644637 http://dx.doi.org/10.1016/j.avsg.2021.07.034 Text en © 2021 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Gutierrez, Josue R.
Volteas, Panagiotis
Skripochnik, Edvard
Tassiopoulos, Apostolos K.
Bannazadeh, Mohsen
A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy
title A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy
title_full A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy
title_fullStr A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy
title_full_unstemmed A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy
title_short A Case of Phlegmasia Cerulea Dolens in a Patient With COVID-19, Effectively Ttreated With Fasciotomy and Mechanical Thrombectomy
title_sort case of phlegmasia cerulea dolens in a patient with covid-19, effectively ttreated with fasciotomy and mechanical thrombectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502248/
https://www.ncbi.nlm.nih.gov/pubmed/34644637
http://dx.doi.org/10.1016/j.avsg.2021.07.034
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