Abstract

SAINZ-GONZALEZ, F; MARTINEZ-IZQUIERDO, A  and  ABDELKADER-ABU-SNEIMEH, A. Aortoiliac thrombosis related to COVID-19: a case report. Sanid. Mil. [online]. 2020, vol.76, n.3, pp.170-172.  Epub Mar 08, 2021. ISSN 1887-8571.  https://dx.doi.org/10.4321/s1887-85712020000300005.

We present a case of acute arterial ischemia in left lower limb due to aortoiliac thrombosis in a patient with SARS-CoV-2 pneumonia with severe respiratory distress. Abdominal CT angiography was performed with high suspect of left iliofemoral and right femoropopliteal compromise without cardioembolic risk factors nor previous intermittent claudication.

Despite patient’s poor condition, who needed supplementation of high flow oxygen, a salvage surgery was performed in order to preserve the extremity.

The intervention was performed under local anesthesia and reverse Trendelenburg position in order to keep appropriate oxygen saturation. The procedure consisted of mechanical iliofemoral thromboembolectomy of the symptomatic limb achieving functional recovery.

Keywords : Ischemia; COVID-19; aortoiliac.

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