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. 2020 Dec 21;5(1):ytaa339. doi: 10.1093/ehjcr/ytaa339
Time Event
Emergency Room admission Patient complained of lower limb pain, and acute left lower limb ischaemia was diagnosed. A nasopharyngeal swab for COVID-19 was performed, as per hospital protocol. Routine ECG showed inferior ST-segment elevation myocardial infarction.
30 min after admission A total-body angioCT scan was performed, showing thrombotic occlusion of the left common iliac artery, thrombosis of a branch of the pulmonary artery, and interstitial pneumonia.
60 min after admission The patient was transferred to the Cath Lab to perform primary PCI of the right coronary artery
2 h after admission The patient was transferred to the vascular surgery operating theatre to perform left iliac artery thrombectomy.
4 h after admission The patient was transferred to the COVID area of the hospital. Aspirin, clopidogrel, and enoxaparin were prescribed. The patient did not complain of dyspnoea.
2 days after admission The patient developed acute right lower limb ischaemia, with diagnosis of thrombotic occlusion of the right common iliac artery.
3 days after admission The patient died of multiorgan failure.