A Challenging Case of Severe SARS-CoV-2 Infection with Pulmonary and Non-Pulmonary Manifestations in a Patient with Giant Left Ventricular Aneurysm-Case Report

Szasz AZ, Rezmuves M-G, Magdas AM, Candea M, Bancu L-A and Demian S

Published on: 2023-04-21

Abstract

Introduction: We hereby report a challenging case of a 73-year-old Caucasian male, former smoker, with a history of myocardial infarction in 2017, an aneurysm at the apex of the left ventricle of 72/76/82 mm, and atrial fibrillation (AFib) on treatment with anticoagulant therapy-AVK (antivitamin K), laryngeal cancer treated with 33 sessions of radiotherapy in 2018, which suffered of severe Covid-19 infection complicated with hydropneumothorax and Disseminated Intravascular Coagulation (DIC).

Case Description:  On December 3, 2020, the patient presented to the Emergency Department because of shortness of breath, dry cough and pain in the right hemithorax, with an oxygen saturation of 77%, associating edema of the lower limbs. A thoracic Computed Tomography scan was performed which showed a right-sided hydropneumothorax and basal bilateral ground-glass opacities. During admission to our department, the patient was diagnosed with DIC.

Discussion: In recent years, humanity has been forced to deal with Covid -19 and with all its consequences. Twenty to fifty percent of patients hospitalized for Covid-19 infections have altered coagulation parameters that can lead to thrombotic and hemorrhagic complications.

Conclusion: The frequently described severe acute respiratory syndrome can lead to medical divergences, but especially Covid coagulopathy, which, although analyzed and re-analyzed, does not answer all the question marks.