Clot in Transit in a Patient with COVID-19: Transesophageal
Echocardiographic Guidance of Mechanical Cardiopulmonary Resuscitation
The incidence of thrombotic complications among critically ill patients
with COVID-19 is high despite thromboprophylaxis. We describe a case of
a young, otherwise healthy patient admitted to our intensive care unit
with COVID-19-associatred acute respiratory distress syndrome (ARDS).
Despite an initial uncomplicated course, he suffered cardiopulmonary
arrest with a right ventricular clot in transit (CIT) identified on
point-of-care ultrasound (POCUS) and redemonstrated on transesophageal
echocardiography (TEE). We highlight the association between COVID-19
and thrombosis as well as the utility of TEE during cardiac arrest for
both diagnostic and therapeutic purposes.