case_images: PMC10513794_01
case_images: PMC10513794_02
case_images: PMC10513794_03
case_images: CT pulmonary angiogram. (a) Evidence of pulmonary thrombi at the bifurcations of the right main pulmonary artery and (b) cardiomegaly with an LV filling defect suggestive of a thrombus and multiple areas of consolidation consistent with SARS-CoV-2 infection.
case_images: CRIC2023-6366959.001.jpg
case_images: PMC10513794_03_CRIC2023-6366959.001.jpg
case_images: fig1
case_images: CT pulmonary angiogram (CTPA) and bedside transthoracic echocardiogram (TTE) as shown in Figures 1 and 2, respectively. CTPA showed pulmonary thrombi at the bifurcations of the right main artery, cardiomegaly with an LV filling defect suggestive of thrombus, and multiple areas of consolidation consistent with extensive COVID-19 infection (Figures 1(a) and 1(b)).
case_images: Transthoracic echocardiogram showed globally impaired left ventricular systolic function and a large left ventricular thrombus.
case_images: CRIC2023-6366959.002.jpg
case_images: PMC10513794_03_CRIC2023-6366959.002.jpg
case_images: fig2
case_images: CT pulmonary angiogram (CTPA) and bedside transthoracic echocardiogram (TTE) as shown in Figures 1 and 2, respectively. CTPA showed pulmonary thrombi at the bifurcations of the right main artery, cardiomegaly with an LV filling defect suggestive of thrombus, and multiple areas of consolidation consistent with extensive COVID-19 infection (Figures 1(a) and 1(b)). A large LV mass was found at the LV apex with global severe hypokinesis (Figure 2).
case_images: PMC10513794_04
case_images: Cardiac resonance imaging showed a severely dilated left ventricle with severely impaired systolic function and late gadolinium enhancement in a subepicardial distribution.
case_images: CRIC2023-6366959.003.jpg
case_images: PMC10513794_04_CRIC2023-6366959.003.jpg
case_images: fig3
case_images: CMR imaging was performed which showed a severely dilated LV (LV end diastolic volume 259 mL) with severe global impairment of LV systolic function (LV ejection fraction 19%) and late gadolinium enhancement in a subepicardial distribution of the inferolateral wall in keeping with myocarditis (Figure 3).
case_images: PMC10513794_05
case_images: Case timeline.
case_images: CRIC2023-6366959.004.jpg
case_images: PMC10513794_05_CRIC2023-6366959.004.jpg
case_images: fig4
case_images: Our patient had severe SARS-CoV-2-related illness complicated by pneumonia, deep vein thrombosis, pulmonary thrombi, intracardiac thrombi, and severely impaired LV function (Figure 4).