Ayşegül Bilge1, İsmail Karasoy2, Elif Neziroğlu1, Yeşim Güner3

1Department of Anesthesiology and Reanimation, Gümüşhane State Hospital, Gümüşhane, Turkey
2Department of Orthopedics and Traumatology, Gümüşhane State Hospital, Gümüşhane, Turkey
3Department of Cardiovascular Surgery, Gümüşhane State Hospital, Gümüşhane, Turkey

Keywords: Amputation, arterial thromboembolism, coagulopathy, COVID-19, upper extremity

Abstract

Although novel coronavirus-2019 (COVID-19) primarily affects the respiratory system, it can affect multiple organ systems, leading to serious complications, such as acute respiratory distress syndrome (ARDS) and multiple organ failure. Nearly 20 to 55% of patients with COVID-19 experience coagulation disorders that cause high mortality in line with the severity of the clinical picture. Thromboembolism can be observed in both venous and arterial systems. The vast majority of thromboembolic events are associated with the venous system and are often observed as pulmonary embolism. Arterial thromboembolisms often involve the arteries in the lower extremities, followed by those in the upper extremities. Herein, we report a rare case of COVID-19 pneumonia whose left arm was amputated at the forearm level after arterial thromboembolism in the left upper extremity. This case report is valuable, as it is the first reported case of upper extremity arterial thromboembolism in Turkey, as well as the only case in the literature in which the patient underwent four surgical interventions and is still alive.