Key result
SARS-CoV-2 infection presents as severe nonischemic cardiomyopathy with bilateral pulmonary and LV thrombi.
Case Report (n=1)
Highlights a severe case of COVID-19-related myocardial dysfunction presenting with extensive pulmonary and left ventricular thrombosis.
A middle-aged gentleman presented with a one-week history of progressive dyspnoea on minimal exertion, persistent haemoptysis, and right calf swelling. His only past medical history of note was a recently positive SARS-CoV-2 nasopharyngeal swab performed as part of a workplace outbreak screening. A CT pulmonary angiogram (CTPA) showed bilateral pulmonary thrombi, extensive consolidation, and a left ventricular (LV) thrombus. A transthoracic echocardiogram (TTE) showed a dilated LV with severely impaired systolic function and LV thrombus. The patient was anticoagulated with warfarin, commenced on IV diuretics and COVID-19 protocol. Cardiac magnetic resonance (CMR) imaging showed a severely dilated nonischaemic cardiomyopathy with a heavy thrombus burden and a fibrosis pattern in keeping with myocarditis. We present a case of COVID-19-related myocardial dysfunction with high thrombotic burden and a discussion of its management.
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Kerley et al. (2023) conducted a case report in COVID-19-related myocardial dysfunction and thrombosis (n=1). SARS-CoV-2 infection was evaluated. SARS-CoV-2 infection in a middle-aged man manifested as severe nonischaemic cardiomyopathy with bilateral pulmonary thrombi and left ventricular thrombus.
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