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Recurrent coronary thrombotic events in a moderate case of COVID-19
  1. Julian Muguerza and
  2. Pierre A Loizeau
  1. Pneumology, Centre Hospitalier de Wallonie Picarde, Tournai, Belgium
  1. Correspondence to Dr Julian Muguerza; julian.muguerza{at}


We describe the case of a healthy patient with moderate COVID-19 infection without thrombophilia nor coronary disease background who presented with a relapsing thrombotic occlusion of the right coronary artery despite normal oxygenation, adequate antiaggregation and prophylactic anticoagulation. Prophylactic anticoagulation recommendations in COVID-19 were inadequate for this patient. Further data are needed to propose full-dose therapeutic anticoagulation for patients with coronary thrombosis and COVID-19 infection. This could nevertheless be considered even in mild forms of COVID-19.

  • cardiovascular medicine
  • interventional cardiology
  • ischaemic heart disease
  • infectious diseases

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  • Contributors JM is the main author of this document. PAL offered help in reviewing the manuscript and providing the figures.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.