Dilated Cardiomyopathy With Multiple Left Ventricular Thrombi and Embolic Stroke After Mild COVID-19
Publication Date
11-1-2022
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-20-7488
PMID
36450145
Publication Date(s)
September 2022
Language
English
PMCID
PMC9809098
PubMedCentral® Posted Date
11-30-2022
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Male, Humans, Adult, Embolic Stroke, Cardiomyopathy, Dilated, COVID-19, Heart, Myocarditis
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
COVID-19 is a novel disease with multisystem involvement, but most patients have pulmonary and cardiovascular involvement in the acute stages. The cardiovascular impact of acute COVID-19 is well recognized and ranges from myocarditis, arrhythmias, and thrombotic occlusion of coronary arteries to spontaneous coronary artery dissection and microthrombi in small coronary vessels on autopsy. We report a case of a 37-year-old man who recovered from mild COVID-19 only to present a few weeks later with devastating cardiovascular involvement that included severe left ventricular impairment resulting from nonischemic cardiomyopathy, multiple left ventricular thrombi, and embolic stroke.