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Laparoscopic Endoscopic Surgical Science Hafif COVID-19 Sonras Gecikmi Pulmoner Emboli: Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2022; 11(1): 19-24 | DOI: 10.5505/respircase.2022.42744

Hafif COVID-19 Sonras Gecikmi Pulmoner Emboli: Olgu Sunumu

Fatma Tokgz Akyl, Seda Tural Onur, Kbra Gl Klnarslan, Kaan Kara, Mustafa Vedat Doru, Nurdan imek Veske, Melih Akay Arslan
Yedikule Gs Hastalklar ve Gs Cerrahisi Eitim ve Aratrma Hastanesi, stanbul

Yeni koronavirs hastal (COVID-19) derin ven trombozu (DVT) ve pulmoner emboli (PE) sklnda art ile ilikilendirilen koaglopati ile dikkat ekmitir. Bu olgu sunumunda hafif COVID-19 sonras saptanan bilateral yaygn PE olgusu tartlmtr. Elli yedi yanda, eforla artan nefes darl ikayetiyle polikliniimize bavurdu. Dokuz yl nce PE geirmi, genetik bir risk faktr saptanmamt. Drt buuk ay nce COVID-19 tans konulmu, hafif semptomlar ile dzelmiti. Daha sonra drt kez efor dispnesi nedeniyle polikliniimize bavurmu, dier nedenler dlanm, yksek d-dimer dzeyleri nedeniyle ekilen iki toraks bilgisayarl tomografi anjiyografi (BTA) ve perfzyon sintigrafisinde emboli saptanmamt. Uzun sre devam edilen PE profilaktik tedavisi 33 gn nce kesilmiti. D-dimer dzeyinde art nedeniyle yeniden BTA ekilen hastada bilateral ana pulmoner arterlerde trombs saptand. Sonu olarak, hafif COVID-19 hastal geiren hastalarda dahi, devam eden semptomlar, yksek D-dimer dzeyleri ve daha nceki PE yks; daha uzun sren COVID-19 koaglopatisi iin uyarc olabilir.

Anahtar Kelimeler: Pulmoner emboli, trombozis, COVD-19

Delayed Pulmonary Embolism after Mild COVID-19: A Case Report

Fatma Tokgz Akyl, Seda Tural Onur, Kbra Gl Klnarslan, Kaan Kara, Mustafa Vedat Doru, Nurdan imek Veske, Melih Akay Arslan
Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, stanbul, Turkey

COVID-19 coagulopathy has gained attention due to the strikingly high prevalence of deep vein thrombosis (DVT) and pulmonary embolism (PE). We describe here a case of bilateral PE preceded by mild COVID-19 contracted 4.5 months earlier in a male patient who presented to the outpatient clinic with exertional dyspnea. The patient had developed PE 9 years earlier, when no underlying genetic factor was detected. In the 4.5 months after contracting mild COVID-19, he presented four times with exertional dyspnea and a thorax computer tomography angiography (CTA) on two occasions and one perfusion scintigraphy revealed no embolism. Based on his high D-dimer values, his symptoms and his history of PE, he was placed on prolonged PE prophylaxis, which was stopped 33 days ago, and at that time, CTA revealed extensive bilateral PE. In conclusion, an unusually longer activation in COVID-19 coagulopathy may co-exist in patients with a history of previous PE, ongoing symptoms and increased D-dimer levels, irrespective of the COVID-19 severity.

Keywords: Pulmonary embolism, thrombosis, SARS-CoV-2

Olgunun Grnt Kesitleri




Fatma Tokgz Akyl, Seda Tural Onur, Kbra Gl Klnarslan, Kaan Kara, Mustafa Vedat Doru, Nurdan imek Veske, Melih Akay Arslan. Delayed Pulmonary Embolism after Mild COVID-19: A Case Report. Respir Case Rep. 2022; 11(1): 19-24

Sorumlu Yazar: Fatma Tokgz Akyl, Trkiye
Makale Dili: ngilizce
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