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CC BY 4.0 · Aorta (Stamford) 2020; 08(03): 074-075
DOI: 10.1055/s-0040-1713107
Case Report

Intramural Hematoma as Unexpected Complication of COVID-19 Infection

Francesca Terzi 
1   Cardiology Unit, Azienda Ospedaliera Ospedali Riuniti Marche Nord, Pesaro, Italy
,
Mariano Cefarelli
2   Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy
,
Rossella Fattori
3   Cardiovascular Center, Marfan Center, Ospedali Riuniti Marche, Ancona, Italy
,
Marco Di Eusanio
2   Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy
› Institutsangaben Funding None.
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Abstract

Novel coronavirus disease-2019 (COVID-19) is an ominous infectious disease that seems capable to attack any organ system, leading in the most severe cases to patient death. COVID-19 has been associated with multiple cardiovascular complications of inflammatory and immune origin, leading to a wide spectrum of vascular damage, myocardial injury, stroke, and pulmonary obstruction. We report the case of a patient with COVID-19 infection who developed an acute aortic syndrome with the characteristics of aortic intramural hematoma.

Keywords

intramural hematoma - COVID-19 - aorta - inflammation - cytokine storm


Publikationsverlauf

Eingereicht: 23. April 2020

Angenommen: 11. Mai 2020

Artikel online veröffentlicht:
04. Juni 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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  • References

  • 1 Driggin E, Madhavan MV, Bikdeli B. et al. Cardiovascular considerations for patients, health care workers, and health systems during the coronavirus disease 2019 (COVID-19) pandemic. J Am Coll Cardiol 2020; 75 (18) DOI: 10.1016/j.jacc.2020.03.031.
    CrossrefPubMedGoogle Scholar
  • 2 Zheng YY, Ma YT, Zhang JY, Xie X. COVID-19 and the cardiovascular system. Nat Rev Cardiol 2020; 17 (05) 259-260
    CrossrefPubMedGoogle Scholar
  • 3 Evangelista A, Mukherjee D, Mehta RH. , et al; International Registry of Aortic Dissection (IRAD) Investigators. Acute intramural hematoma of the aorta: a mystery in evolution. Circulation 2005; 111 (08) 1063-1070
    CrossrefPubMedGoogle Scholar
  • 4 Akamatsu et al. Evaluation of aortic wall inflammation in acute aortic intramural hematoma using FDG-PET/CT in relation to prognostic aorta-related outcome. J Nucl Med 2017; 58 (01) 1167
    CrossrefPubMedGoogle Scholar
  • 5 Kuehl H, Eggebrecht H, Boes T. et al. Detection of inflammation in patients with acute aortic syndrome: comparison of FDG-PET/CT imaging and serological markers of inflammation. Heart 2008; 94 (11) 1472-1477
    CrossrefPubMedGoogle Scholar
  • 6 Erbel R, Aboyans V, Boileau C. et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The task force for the diagnosis and treatment of aortic diseases of the European Society of Cardiology (ESC). Eur Heart J 2014; 35 (41) 2873-2926
    CrossrefPubMedGoogle Scholar
  • 7 Kitai T, Kaji S, Kim K. et al. Prognostic value of sustained elevated C-reactive protein levels in patients with acute aortic intramural hematoma. J Thorac Cardiovasc Surg 2014; 147 (01) 326-331
    CrossrefPubMedGoogle Scholar
  • 8 He R, Guo DC, Estrera AL. et al. Characterization of the inflammatory and apoptotic cells in the aortas of patients with ascending thoracic aortic aneurysms and dissections. J Thorac Cardiovasc Surg 2006; 131 (03) 671-678
    CrossrefPubMedGoogle Scholar