Dall’Orto CC, Lopes RPF, Cancela MT, de Sales Padilha C, Pinto Filho GV, da Silva MR. Extensive right coronary artery thrombosis in a patient with COVID-19: A case report. World J Clin Cases 2022; 10(31): 11508-11516 [PMID: 36387805 DOI: 10.12998/wjcc.v10.i31.11508]
Corresponding Author of This Article
Clarissa Campo Dall’Orto, MD, PhD, Chief Doctor, Therapy Center, Brazilian Society of Health Support Hospital, Av. Pres. Getúlio Vargas-Recanto do Lago 2752, Teixeira de Freitas 45987-088, Bahia, Brazil. clarissadallorto@alumni.usp.br
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2022; 10(31): 11508-11516 Published online Nov 6, 2022. doi: 10.12998/wjcc.v10.i31.11508
Extensive right coronary artery thrombosis in a patient with COVID-19: A case report
Clarissa Campo Dall’Orto, Rubens Pierry Ferreira Lopes, Mariana Torres Cancela, Ciria de Sales Padilha, Gilvan Vilella Pinto Filho, Marcos Raphael da Silva
Clarissa Campo Dall’Orto, Rubens Pierry Ferreira Lopes, Gilvan Vilella Pinto Filho, Marcos Raphael da Silva, Therapy Center, Brazilian Society of Health Support Hospital, Teixeira de Freitas 45987-088, Bahia, Brazil
Mariana Torres Cancela, Department of Cardiology, Deputy Luis Eduardo Magalhães Hospital, Porto Seguro 45810-000, Bahia, Brazil
Ciria de Sales Padilha, Intensive Care Unit, Medical Assistance Extreme South Hospital, Eunápolis 45820-131, Bahia, Brazil
Author contributions: Dall’Orto CC and Lopes RPF contributed to manuscript writing, editing and supervision; Pinto Filho GV and Raphael M contributed to data analysis; Cancela MT contributed to conceptualization; de Sales Padilha C contributed to data collection; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Clarissa Campo Dall’Orto, MD, PhD, Chief Doctor, Therapy Center, Brazilian Society of Health Support Hospital, Av. Pres. Getúlio Vargas-Recanto do Lago 2752, Teixeira de Freitas 45987-088, Bahia, Brazil. clarissadallorto@alumni.usp.br
Received: May 12, 2022 Peer-review started: May 12, 2022 First decision: June 27, 2022 Revised: July 27, 2022 Accepted: September 21, 2022 Article in press: September 21, 2022 Published online: November 6, 2022
Core Tip
Core Tip: Cardiovascular complications occurring during the course of coronavirus disease 2019 (COVID-19) cause morbidity and mortality. We report the case of a 62-year-old woman with COVID-19 and ST-elevation myocardial infarction. Angiography of the right coronary artery suggested a thrombus, and findings were confirmed via intravascular ultrasound and optimal coherence tomography. Dual antiplatelet therapy and anticoagulation with enoxaparin therapy was administered for 7 d, followed by disappearance of the thrombi. Resting full-cycle ratio was performed without damage to coronary physiology. There is no consensus on the ideal management approach for acute coronary syndrome in this scenario; however, in this case the thrombi disappeared after dual antiplatelet and anticoagulation therapy.
