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  • Phlegmasia cerulea dolens a...
    Chun, Tristen T.; Jimenez, Juan Carlos; Pantoja, Joe L.; Moriarty, John M.; Freeman, Shanna

    Journal of vascular surgery cases and innovative techniques, 12/2020, Letnik: 6, Številka: 4
    Journal Article

    Patients with acute coronavirus disease 2019 (COVID-19) respiratory infection are associated with concomitant thromboembolic complications and a hypercoagulable state. Although these mechanisms are not completely understood, unique alterations in the serum markers for hemostasis and thrombosis have been detected. A high index of suspicion is required by vascular surgeons for patients presenting with this novel virus. We present the case of a 51-year-old man with acute COVID-19 pneumonia who developed phlegmasia cerulea dolens despite chronic warfarin therapy and a supratherapeutic international normalized ratio.