25 November 2021
: Case report
A Case of COVID-19-Associated Free-Floating Aortic Thrombus Successfully Treated with Thrombectomy
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment
Lisa Dao1ABDEF, Alina Lund1BEF, Christina D. Schibler1BEF, Christine A. Yoshioka1BEF, Maria Barsky1ACDEFG*DOI: 10.12659/AJCR.933225
Am J Case Rep 2021; 22:e933225
Figure 2. D-dimer, a COVID-19 inflammatory marker, trended throughout hospitalization. X-axis represents hospital days from day 1, the first day of hospitalization, to day 18, day of hospital discharge. D-dimer was trended approximately once every 2 days; therefore, aside from days 1 and 2 and days 10 to 12, which represent 24-h time frames, all other data points are approximately 48 h apart in the patient’s hospital course. Y-axis is representative of D-dimer values in ng/mL obtained throughout hospitalization. Values are listed in 1000 ng/mL increments. Day 10 (arrow), represented on the X-axis, demonstrates the day the patient’s D-dimer rose significantly and peaked at 6840 ng/mL, as represented on the Y-axis. Close monitoring of the D-dimer trend and observation of its peak on day 10 led to further investigation with computed tomography angiography, which ultimately led to the discovery of a new aortic free-floating thrombus.






