# Acute Aortic Stent Graft Thrombosis in Patient with Recent COVID-19 Infection

## TL;DR

A patient developed a blood clot in an aortic stent graft shortly after recovering from COVID-19, requiring emergency surgery.

## Contribution

This case highlights a rare complication of aortic stent graft thrombosis following recent SARS-CoV-2 infection.

## Key findings

- Acute aortic stent graft thrombosis occurred four days after SARS-CoV-2 infection resolution.
- Endovascular interventions failed, necessitating emergent stent graft explantation.
- The case suggests a potential link between recent COVID-19 and vascular device complications.

## Abstract

Although COVID-19 primarily affects the respiratory system, it can have various effects on other organs, including the cardiovascular system. COVID-19 can lead to a prothrombotic status, promoting blood clotting, which can potentially affect native vessels and implanted devices. The exact mechanisms through which it leads to increased clotting are not yet fully understood but may involve inflammation, endothelial dysfunction, and a hyperactive immune response. In the present report, we describe a case of acute aortic stent graft thrombosis four days after the resolution of SARS-CoV-2 infection. The patient required emergent explantation of the stent graft after the failure of endovascular bailout procedures.