Coronary interventions

Coronary thrombosis in a patient with COVID-19 and haemophagocytic lymphohistiocytosis

EuroIntervention 2021;16:e1531-e1532. DOI: 10.4244/EIJ-D-20-00636

Luke Dancy
Luke H. Dancy1,2, MBBS, MRCP; Huda Abu-Own1,2, MBBS, MRCP; Jonathan Byrne1,2, PhD, FRCP; Nilesh Pareek1,2, MA, MRCP, MBBS
1. King’s College Hospital NHS Foundation Trust, London, United Kingdom; 2. School of Cardiovascular Medicine & Sciences, BHF Centre of Excellence, King’s College London, London, United Kingdom

Figure 1. Extensive right coronary artery thrombosis associated with COVID-19. A) Angiogram of the right coronary artery showing large thrombus (arrows) with subtotal occlusion of the distal vessel. B) & C) Intravascular ultrasound of the same vessel showing fresh thrombus (arrowheads) with a minimal lumen area of 21.7 mm2 and only 29% plaque burden (C). D) Coronary angiography following successful PCI to the distal vessel but with distal thrombotic pruning.

A 51-year-old male with hypertension, established type 2 diabetes mellitus and hypercholesterolaemia presented with acute respiratory distress syndrome. A chest radiograph showed bilateral infiltrates, and a real-time polymerase chain reaction nasopharyngeal ...

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