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A case of COVID-19 infection, complicated by viral covid pneumonia, spontaneous rupture in the thinned part of a chronic aneurysm, with type 2 myocardial infarction
https://doi.org/10.30629/0023-2149-2024-102-9-10-772-776
Abstract
This report presents a case of spontaneous rupture in the thinned area of a chronic aneurysm during a type 2 myocardial infarction following SARS-CoV-2 (Severe Acute Respiratory Syndrome-related) infection. A 55-year-old female patient was hospitalized for several hours at a republican cardiology dispensary with a diagnosis of severe SARS-CoV-2 coronavirus infection and type 2 myocardial infarction. Pathological examination of the lungs revealed signs of viral interstitial pneumonia, and in the apex of the heart, in the area of post-infarction cardiosclerosis, there was a through defect measuring 1.5 cm with uneven edges. Microscopic examination showed interstitial edema and muscle fi bers lacking cross-striations, with signs of intracellular edema.
Conclusion: This clinical case demonstrates spontaneous rupture in the thinned area of a chronic aneurysm during a type 2 myocardial infarction (against a background of metabolic disorders) in the context of viral pneumonia due to COVID-19.
About the Authors
O. V. Alpidovskaya
I.N. Ulyanov Chuvash State University
Russian Federation
Russian Federation
Olga V. Alpidovskaya — Candidate of Medical Sciences, Associate Professor of the Department of General and Clinic, al Morphology and Forensic Medicine
Cheboksary
N. E. Himaldinova
I.N. Ulyanov Chuvash State University
Russian Federation
Russian Federation
Natalia E. Himaldinova — Candidate of Medical Sciences, Associate Professor of the Department of General and Clinical Morphology and Forensic Medicine
Cheboksary
L. P. Romanova
I.N. Ulyanov Chuvash State University
Russian Federation
Russian Federation
Lyubov P. Romanova — Candidate of Biological Sciences, Associate Professor of the Department of Dermatovenerology with the hygiene course
Cheboksary
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Review
For citations:
Alpidovskaya O.V., Himaldinova N.E., Romanova L.P. A case of COVID-19 infection, complicated by viral covid pneumonia, spontaneous rupture in the thinned part of a chronic aneurysm, with type 2 myocardial infarction. Clinical Medicine (Russian Journal). 2024;102(9-10):772–776. (In Russ.) https://doi.org/10.30629/0023-2149-2024-102-9-10-772-776
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