Case Reports and Reviews: Open Access

Anesthetic Management of a Case of Penetrating Aortic Ulcer With Active Bleeding During Acute Phase of Covid-19 Infection – A Case Report

Marina Ayres Delgado, Davi Brasil Khouri, Tchalton Amador Corrêa, and Pedro Henrique Torres Menezes

Abstract

Acute respiratory failure and a systemic coagulopathy are critical aspects associated with the SARS-Cov-2 infection. A 78-year-old male, diagnosed with covid-19 presented with an aortic ulcer with active bleeding. The endovascular repair of the ruptured aortic ulcers was successfully performed using Valiant Captivia endoprosthesis. The procedure was successful, with no evidence of hemorrhage or thrombosis. SARS-Cov-2 infection can be defined as a microvascular injury syndrome with diffuse endothelial inflammation, a procoagulant state and formation of immunothrombosis. Severe systemic inflammatory response and hypoxia predispose to atherosclerotic plaque rupture and subsequent ulcer formation.

Keywords: Anesthesia in pandemics; Covid and bleeding; Aortic ulcer; and Covid-19