Thrombosis of the pulmonary arteries branches as a complication of COVID-19 pneumonia (a case report)
https://doi.org/10.18093/0869-0189-2021-31-4-537-541
Abstract
The article presents a rare case of thrombosis of the pulmonary arteries branches, which developed in a patient two months after infection with the SARS-CoV-2 virus, that caused bilateral polysegmental pneumonia. The thrombosis was suspected because of a high plasma D-dimer level. Contrast-enhanced chest CT was performed to make a definitive diagnosis. The absence of blood clots in the veins of the lower extremities and pelvis allowed us to conclude that the patient did not have thromboembolism, but rather a pulmonary thrombosis in situ. Such possible causes of venousthromboembolic complications as tumors, systemic diseases of the connective tissue, and antiphospholipid syndrome were excluded based on negative tests for tumor and autoimmune diseases markers. The long-stay in the hospital was associated with the inability of the patient to maintain the normal level of blood oxygen saturation independently due to the large area of the lung damage associated with COVID-19 pneumonia and ischemia caused by thrombosis of the branches of the pulmonary arteries.
About the Authors
T. I. Kalenchic
Educational Institution “Belarusian State Medical University”
Belarus
Competing Interests:
Belarus
Tamara I. Kalenchic, Candidate of Medicine, Associate Professor, Department of Medical Rehabilitation and Physiotherapy
Dzerzhinsky prosp. 83, Minsk, 220116
Competing Interests:
no
S. L. Kabak
Educational Institution “Belarusian State Medical University”
Belarus
Competing Interests:
Belarus
Sergey L. Kabak, Doctor of Medicine, Professor, Head of Department of Human Morphology
Dzerzhinsky prosp. 83, Minsk, 220116
Competing Interests:
no
N. S. Didenko
Center for Diagnostics and Rehabilitation, Limited Liability Company “Gazprom Transgaz Moscow”
Russian Federation
Competing Interests:
Russian Federation
Natalia S. Didenko, Сardiologist
ul. Nametkina 16, Moscow, 117420
Competing Interests:
no
I. P. Dulub
Healthcare Institutions “6th City Clinical Hospital of Minsk”
Belarus
Competing Interests:
Belarus
Ivan P. Dulub, Head of the Pulmonology Department
ul. Uralskaya 5, Minsk, 220371
Competing Interests:
no
A. Yu. Haustovich
Healthcare Institutions “6th City Clinical Hospital of Minsk”
Belarus
Competing Interests:
Belarus
Aleksandr Y. Haustovich, Radiologist
ul. Uralskaya 5, Minsk, 220371
Competing Interests:
no
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Review
For citations:
Kalenchic T.I., Kabak S.L., Didenko N.S., Dulub I.P., Haustovich A.Yu. Thrombosis of the pulmonary arteries branches as a complication of COVID-19 pneumonia (a case report). PULMONOLOGIYA. 2021;31(4):537-541. (In Russ.) https://doi.org/10.18093/0869-0189-2021-31-4-537-541
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