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Saddle Pulmonary Embolism and Thrombus-in-Transit Straddling the Patent Foramen Ovale 28 Days After COVID Symptom Onset
  • Kana Fujikura,
  • Joao FontesOrcid,
  • Cynthia Taub
Kana Fujikura
National Institutes of Health
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Joao Fontes
Orcid
Montefiore Medical Center
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Cynthia Taub
Montefiore Medical Center
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Peer review status:Published

08 Jun 2020Submitted to Echocardiography
08 Jun 2020Submission Checks Completed
08 Jun 2020Assigned to Editor
13 Jun 2020Reviewer(s) Assigned
27 Jun 2020Review(s) Completed, Editorial Evaluation Pending
27 Jun 2020Editorial Decision: Revise Major
29 Jun 20201st Revision Received
01 Jul 2020Submission Checks Completed
01 Jul 2020Assigned to Editor
01 Jul 2020Reviewer(s) Assigned
05 Jul 2020Review(s) Completed, Editorial Evaluation Pending
05 Jul 2020Editorial Decision: Accept
31 Jul 2020Published in Echocardiography. 10.1111/echo.14796

Abstract

We present a late presentation of saddle pulmonary embolism and thrombus-in-transit straddle the patent foramen on patient who successfully recovered from severe acute respiratory syndrome coronavirus-2 (COVID-19) pneumonia. Seven days post-discharge (i.e. 28 days after initial COVID-19 symptom onset), she was readmitted to hospital for severe dyspnea. Computer tomography angiogram and echocardiography confirmed the diagnosis. Severe pro-inflammatory and pro-thrombotic states with endothelial involvement have been reported associated with severe COVID-19 infection. However the duration of hypercoagulable state has not yet known. This case highlights the risk of thromboembolic phenomena for prolonged periods of times after recovering from COVID-19 pneumonia.