Journal Information
Vol. 47. Issue 1.
Pages 58-59 (January 2023)
Vol. 47. Issue 1.
Pages 58-59 (January 2023)
Images in Intensive Medicine
Full text access
Peripheral pulmonary thromboembolism in COVID-19 bilateral pneumonia
Tromboembolismo pulmonar periférico en neumonía bilateral por COVID-19
Visits
893
R.M. Vela Colmenero
Corresponding author
rosa_vela@hotmail.com

Corresponding author.
, M.I. Ruíz García, M. Gordillo Resina
Medicina Intensiva, Complejo Hospitalario de Jaén, Jaén, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (3)
Show moreShow less
Full Text

This is the case of a 64-year-old man with a past medical history of hypertension admitted to the ICU with a diagnosis of severe ARDS due to COVID-19-related bilateral pneumonia. The thoracic x-ray reveals a bilateral alveolar-interstitial pattern with damage to the right lung, especially the mid field (Fig. 1, pointer arrows). The blood test results show very high D-dimer levels (28970ng/mL) and due to suspected PTE, a thoracic echocardiography is performed that reveals the presence of RV pressure overload with positive McConnell sign. Following the echocardiographic findings, anticoagulant therapy with low-molecular weight heparin (enoxaparin 1mg/kg/every 12h) is initiated. A thoracic CCTA was performed for diagnostic confirmation purposes that revealed the presence of a repletion defect in the artery of the medial lobe lateral segment (arrows in Figs. 2 and 3) in the PTE setting. Also, the presence of diffuse bilateral damage and extensive areas of cobblestone pattern in a viral infectious process setting (Figs. 2 and 3). The patient remained on anticoagulant therapy until hospital discharge without any associated bleeding complications.

Figure 1
(0.21MB).
Figure 2
(0.11MB).
Figure 3
(0.17MB).
Copyright © 2020. Elsevier España, S.L.U. and SEMICYUC
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?