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Delayed stroke after hospitalization for coronavirus disease 2019 pneumonia from common and internal carotid artery thrombosis

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Large vessel arterial thrombosis has been reported to complicate a subset of cases of COVID-19. Thrombosis of the extracranial carotid arterial system may lead to devastating stroke in some patients… Click to show full abstract

Large vessel arterial thrombosis has been reported to complicate a subset of cases of COVID-19. Thrombosis of the extracranial carotid arterial system may lead to devastating stroke in some patients with COVID-19. We present a patient previously hospitalized with COVID-19 for oxygen supplementation who presented after discharge with delayed stroke from a right common artery (CCA) and internal carotid artery (ICA) thrombosis. The thrombotic occlusion resolved with anti-thrombotic medications and no invasive intervention. The report highlights the complicated and heterogenous nature of COVID-19 and provides one approach to managing the devastating complication of stroke from carotid arterial thrombosis.

Keywords: carotid artery; carotid; delayed stroke; thrombosis; internal carotid

Journal Title: Journal of Vascular Surgery Cases and Innovative Techniques
Year Published: 2020

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