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

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 ...