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Seven days postdischarge (ie, 28\u00a0days after initial COVID\u201019 symptom onset), she was readmitted to hospital for severe dyspnea. Computer tomography angiogram and echocardiography confirmed the diagnosis. Severe pro\u2010inflammatory and pro\u2010thrombotic states with endothelial involvement have been reported associated with severe COVID\u201019 infection. However, the duration of hypercoagulable state has not yet known. This case highlights the risk of thromboembolic phenomena for prolonged periods of times after recovering from COVID\u201019 pneumonia.<\/jats:p>","DOI":"10.1111\/echo.14796","type":"journal-article","created":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T11:01:51Z","timestamp":1596193311000},"page":"1296-1299","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Saddle pulmonary embolism and thrombus\u2010in\u2010transit straddling the patent foramen ovale 28 days after COVID symptom onset"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7610-850X","authenticated-orcid":false,"given":"Kana","family":"Fujikura","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Medicine Montefiore Medical Center Albert Einstein College of Medicine Bronx New York USA"},{"name":"Department of Health and Human Services Advanced Cardiovascular Imaging Laboratory National Heart, Lung and Blood Institute National Institutes of Health Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joao D.","family":"Fontes","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Montefiore Medical Center Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia C.","family":"Taub","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Montefiore Medical Center Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,31]]},"reference":[{"key":"e_1_2_4_2_1","unstructured":"Johns Hopkins University and Medicine Coronavirus Resource Center.COVID\u201019 Dashboard by the Center for systems Science and Engineering at Johns Hopkins University. 5\/29\/2020. Available at:https:\/\/coronavirus.jhu.edu\/map.html. Accessed May 29 2020."},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/M20-2003"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2020.04.013"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14850"},{"key":"e_1_2_4_6_1","unstructured":"American Society of Hematology.COVID\u201019 and VTE\/Anticoagulation: Frequently Asked Questions. 5\/18\/2020. Available athttps:\/\/www.hematology.org\/covid\u201019\/covid\u201019\u2010and\u2010vte\u2010anticoagulation. Accessed May 30 2020."},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06062-x"},{"key":"e_1_2_4_8_1","article-title":"COVID\u201019 complicated by acute pulmonary embolism and right\u2010sided heart failure","author":"Ullah W","year":"2020","journal-title":"J Am Coll Cardiol Case Rep"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30937-5"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a059427"},{"key":"e_1_2_4_11_1","unstructured":"National Institutes of Health.Antithrombotic therapy in patients with COVID\u201019. May 12 2020. Available at:https:\/\/www.covid19treatmentguidelines.nih.gov\/antithrombotic\u2010therapy\/. Accessed May 30 2020."}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.14796","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14796","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.14796","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14796","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T17:12:51Z","timestamp":1693933971000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.14796"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,31]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1111\/echo.14796"],"URL":"https:\/\/doi.org\/10.1111\/echo.14796","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2020,7,31]]},"assertion":[{"value":"2020-06-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}