Volume 25, Issue 116, October 2021

Stenosis of large lower limb arteries in a teenager after COVID-19 infection

Jose Maria Pereira de Godoy^1♦, Gleison Juliano da Silva Russeff², Henrique Amorim Santos³, Ana Carolina Pereira de Godoy⁴

¹Professor Adjunct of Cardiovascular Surgery Department in Medicine School in Sao Jose do Rio Preto-FAMERP; Professor of the Undergraduate Medicine Course and the Stricto Sensu Postgraduate Course-FAMERP and CNPq (National Council for Research and Development), Brazil
²Vascular Surgery of Service Ecography in Hospital de Base-Medicine School of Sao Jose do Rio Preto-FAMERP-Brazil
³Physician, Resident of Vascular Surgery Service in Medicine School in Sao Jose do Rio Preto-FAMERP-Brazil
⁴Physician specialized in Pediatric Intensive Unit Care, fellow in Intensive Surgery Pediatric Cardiac Hospital da Criança e MaternidadeHCM- Hospital de Base of Sao Jose do Rio Preto, Brazil

^♦Corresponding author
Professor Adjunct of Cardiovascular Surgery Department in Medicine School in Sao Jose do Rio Preto-FAMERP; Professor of the Undergraduate Medicine Course and the Stricto Sensu Postgraduate Course-FAMERP and CNPq (National Council for Research and Development), Brazil

ABSTRACT

The aim of the present study is to report a COVID-19 infection sequel in large lower limb arteries in adolescent. An 18-year-old female adolescent those two weeks after COVID- 19 she had severe pain in her right leg that limited her walking and was admitted to hospital. Upon admission, a clinical history and physical examination were performed and the absence of pulses in the femoral was detected. An angiotomography was requested, which revealed thrombosis in a portion of the external iliac artery, femoral, popliteal and tibial. She underwent an embolectomy that progressed well and is discharged from the hospital with anticoagulation using sodium warfarin. In outpatient follow-up, she underwent a control examination with arterial duplex of the right lower limb, eight months after the event, with a finding of stenosis greater than 50% of the diameter, suggesting an inflammatory process in the iliac femoral artery and a significant reduction in the diameter of the artery posterior tibial artery. The clinical evolution of post COVID-19 patients who had arterial thrombotic events should be monitored for possible sequelae that may occur.

Keywords: Stenosis arteries, lower limb, teenager, COVID-19, sequels

Medical Science, 2021, 25(116), 2680-2684

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