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An unexpected finding in Covid-19 patient with high troponin level
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  • Valeria Pergola,
  • Christian Passarella,
  • Loira Leoni,
  • Ivo Tiberio,
  • Daniela Mancuso
Valeria Pergola
Padua University Hospital
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Christian Passarella
Padua University Hospital
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Loira Leoni
Padua University Hospital
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Ivo Tiberio
Padua University Hospital
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Daniela Mancuso
Padua University Hospital
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Abstract

There is increasing evidence that COVID-19 infection predisposes to thromboembolism. A 71 years-old male patient was admitted to ICU for COVID-19 related pneumonia. He developed a high troponin rise up to 6715 ng/L. By transthoracic echocardiography, we found akinesia of the full right ventricular apex with a mobile hyperechogenic mass, highly suggestive of thrombus. Unfractionated Heparin was started immediately. A subsequent echocardiogram showed no mass. To our knowledge, this is the first case showing a thrombus formation in the context of right ventricular apical akinesia in COVID-19 patients. There is upcoming evidence that the clinical relevance of thromboembolic complications may be a serious issue in COVID-19 patients even in the absence of any obvious risk factor. Our case clearly demonstrate that, in patients with COVID-19 infection and troponin rise, echocardiography should be performed to rule out possible thrombotic complications