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Clot in Transit in a Patient with COVID-19: Transesophageal Echocardiographic Guidance of Mechanical Cardiopulmonary Resuscitation
  • +3
  • James Horowitz,
  • Eugene Yuriditsky,
  • Jan Bakker,
  • Gabriela Magda,
  • Felipe Teran,
  • Muhamed Saric
James Horowitz
NYU Langone Health
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Eugene Yuriditsky
NYU Langone Health
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Jan Bakker
NYU Langone Health
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Gabriela Magda
NYU Langone Health
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Felipe Teran
Hospital of the University of Pennsylvania
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Muhamed Saric
NYU Langone Health
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Abstract

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.