Acute pulmonary embolism following acute type A aortic dissection in a patient with COVID-19

David Volvovitch*, Eilon Ram, Hillit Cohen, Alexander Kogan, Leonid Sternik, Ehud Raanani

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Acute aortic dissection and acute pulmonary embolism (PE) are life-threatening emergencies that can mimic each other at presentation. Immediate and accurate diagnosis of these scenarios is crucial to initiate the appropriate interventions. In this case report we present a 73-year-old patient, who was admitted to our Medical Center with acute type A aortic dissection. She was tested for coronavirus disease 2019 (COVID-19) infection and was found to be positive. During her admission in the COVID-19 designated intensive care unit, she diagnosed with acute PE in the main right and left pulmonary arteries. She underwent surgery that included bilateral pulmonary embolectomy and aortic dissection repair. The patient was discharged from our hospital on the ninth postoperative day without any complications. Frequency of simultaneous presentation of acute aortic dissection and acute PE is increased with a history of coagulation abnormalities as seen in patients with COVID-19.

Original languageEnglish
Pages (from-to)1566-1568
Number of pages3
JournalJournal of Cardiac Surgery
Volume36
Issue number4
DOIs
StatePublished - Apr 2021

Keywords

  • COVID-19
  • pulmonary embolism
  • type A aortic dissection

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