The present case report described a 60-year-old woman who developed multiple isolated acute arterial occlusions of the left anterior tibial artery, peroneal artery, and posterior tibial artery with aortic mural thrombi in the infrarenal aorta during treatment of COVID-19 pneumonia. The patient underwent conservative treatment by systemic heparinization and switched to low molecular weight heparin. She experienced clinical improvement within hours of medical treatment and complete resolution of the tibial artery thrombosis after two weeks of treatment. The aortic mural thrombi was evaluated by computed tomography angiography (CTA) abdomen and lower extremities and resolved after six weeks of anticoagulant administration.

Keywords: Acute limb ischemia; Aortic mural thrombi; Thrombosis; COVID-19

DOI: 10.35755/jmedassocthai.2022.05.13302

Received 20 September 2021 | Revised 5 April 2022 | Accepted 20 April 2022