{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T20:34:39Z","timestamp":1770582879099,"version":"3.49.0"},"reference-count":10,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,26]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>COVID-19 has varied cardiovascular manifestations including microvascular and macrovascular thrombi leading to multiorgan system injury and failure. This case describes a patient presenting with acute hypoxaemic respiratory failure from COVID-19 who abruptly developed a large thrombus in the right coronary artery leading to myocardial infarction. This case report reviews the ECG, heart catheterisation images prepercutaneous and postpercutaneous coronary intervention, critical care management and outcome in the context of the height of the COVID-19 pandemic in the Virginia area. A brief review of relevant literature regarding cardiovascular complications of COVID-19 is also provided. Unfortunately, the patient ultimately passed after 2\u2009weeks of inability to wean off the ventilator.<\/jats:p>","DOI":"10.1136\/bcr-2020-238218","type":"journal-article","created":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T13:10:53Z","timestamp":1616418653000},"page":"e238218","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Acute coronary thrombosis as a complication of COVID-19"],"prefix":"10.1136","volume":"14","author":[{"given":"Leonard","family":"Genovese","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Inova Heart and Vascular Institute, Falls Church, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Georgetown University Medical Center, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Behnam","family":"Tehrani","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Inova Heart and Vascular Institute, Falls Church, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shashank","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Inova Heart and Vascular Institute, Falls Church, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,22]]},"reference":[{"key":"2025082713083113000_14.3.e238218.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"2025082713083113000_14.3.e238218.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30566-3"},{"key":"2025082713083113000_14.3.e238218.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6775"},{"key":"2025082713083113000_14.3.e238218.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06062-x"},{"key":"2025082713083113000_14.3.e238218.5","doi-asserted-by":"crossref","DOI":"10.1001\/jamacardio.2020.0950","article-title":"Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China","volume":"5","author":"Shi","year":"2020","journal-title":"JAMA Cardiol"},{"key":"2025082713083113000_14.3.e238218.6","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1001\/jamacardio.2020.1017","article-title":"Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19)","volume":"5","author":"Guo","year":"2020","journal-title":"JAMA Cardiol"},{"key":"2025082713083113000_14.3.e238218.7","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1161\/CIRCULATIONAHA.120.047525","article-title":"St-Elevation myocardial infarction in patients with COVID-19: clinical and angiographic outcomes","volume":"141","author":"Stefanini","year":"2020","journal-title":"Circulation"},{"key":"2025082713083113000_14.3.e238218.8","doi-asserted-by":"crossref","unstructured":"Bangalore S , Sharma A , Slotwiner A . St-Segment elevation in patients with COVID-19: a case series. N Engl J Med 2020.","DOI":"10.1056\/NEJMc2009020"},{"key":"2025082713083113000_14.3.e238218.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(20)32999-5"},{"key":"2025082713083113000_14.3.e238218.10","doi-asserted-by":"crossref","unstructured":"Bikdeli B , Madhavan MV , Jimenez D . COVID-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up. 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