J Korean Orthop Assoc.  2021 Oct;56(5):450-454. 10.4055/jkoa.2021.56.5.450.

Acute Lower Limb Ischemia Associated with COVID-19

• Kim HS
• Suh JS
• Choi JY

• KMID: 2521208
• DOI: http://doi.org/10.4055/jkoa.2021.56.5.450

Abstract

A 75-year-old male patient without any significant medical and habitual risk factors for acute atherosclerosis obliterans except for hypertension was diagnosed with coronavirus disease 2019 with dyspnea, coughing, and mild fever. After a week of hospitalization, he complained of right foot pain and numbness. The symptoms were aggravated during the next week, resulting in a complete toe color change and loss of dorsalis artery pulse. Enhanced 3-dimensional computed tomography angiography revealed thrombus formation in the right common iliac artery and a loss of blood flow below the popliteal artery on both sides. The patient underwent percutaneous balloon angioplasty with stent insertion followed by medical therapy for anticoagulation. The clinical symptoms immediately were improved after the intervention, but the great toe necrosis was not recovered. Finally, amputation of the great toe was performed.

Keyword

COVID-19; arterial thrombosis; coagulopathy; acute lower limb ischemia; anticoagulants