Critical ischemia and complications associated with treatment in a patient with COVID-19

Most cases of arterial thrombosis are noted in critically ill patients in intensive care unit.
Present study aimed to report a case of arterial thrombosis with multiple thrombi involving iliac and femoral arteries and their complications.
A 64-year-old female patient was admitted to the Respiratory Unit of Hospital de Base, with COVID condition and severe pain in the right lower limb with approximately 20 hours of evolution, associated with paresthesia, coldness and decreased motricity in toes. Angiotomography of the abdomen and lower limbs was performed, which showed the presence of multiple thrombi in the common femoral artery, superficial femoral artery and right popliteal artery. Assessed by vascular surgery, she was submitted to right lower limb embolectomy, requiring common femoral artery endarterectomy and common femoral artery repair with Dacron patch and anterior, lateral and posterior compartment fasciotomy. At the end of surgery, she has a palpable distal pulse
(anterior tibial). Arterial thrombosis associated with COVID-19 can affect intact native arteries or those associated with previous arteriosclerotic processes. Complications can be inherent to the procedure, but with greater morbidity and mortality.