Key result
Severe right heart failure can complicate SARS-CoV-2 via right atrioventricular thrombus without pulmonary embolism.
Why the study?
There is a paucity of reports regarding SARS-CoV-2 and cardiac thrombus formation, particularly right heart thrombi without pulmonary embolism.
Case Report (n=1)
Highlights the rare occurrence of right heart atrioventricular thrombus without pulmonary embolism in a patient with SARS-CoV-2, emphasizing the need for timely identification.
May prompt consideration of right atrioventricular thrombus in SARS-CoV-2 patients with unexplained right heart failure; hypothesis-generating case extending known cardiac complications.
SARS-CoV-2, the novel Coronavirus of 2019, and its associated coagulopathy has been reported to have many deleterious complications involving the cardiovascular system.Despite these many observed effects, there is a paucity of reports regarding SARS-CoV-2 and cardiac thrombus formation.In the absence of SARS-CoV-2, thrombi in the heart are typically seen in the left ventricle, with right heart thrombi (RHT) being very uncommon.When present, RHT are usually associated with pulmonary embolism (PE), which can lead to right sided heart failure in some cases.In rare instances, right heart thrombi are present in the absence of PE.In either situation, timely identification of RHT is critical as it carries a high mortality without timely treatment.Here, we present a unique case report detailing the presence of severe right heart failure from right atrioventricular thrombus without PE in a previously healthy patient diagnosed with SARS-CoV-2.
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Solsi et al. (2020) conducted a case report in SARS-CoV-2 with right heart atrioventricular thrombus (n=1). SARS-CoV-2 infection was evaluated on Right heart atrioventricular thrombus and severe right heart failure. A previously healthy patient with SARS-CoV-2 developed severe right heart failure from a right atrioventricular thrombus in the absence of pulmonary embolism.
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