A Potential Misdiagnosis in the Covid-19 Pandemic Era: A Case Report of Superimposed Thrombosis or Tumor Recurrence Publisher Pubmed



Zoroufian A¹ ; Mohsenibadalabadi R¹ ; Mahalleh M¹ ; Ghorashi SM¹ ; Momtahen S¹ ; Omidi N¹
Source: Journal of Cardiothoracic Surgery Published:2021

Abstract

Background: The clinical manifestations of coronavirus disease 2019 (COVID-19) overlap with those of other disorders, especially cardiovascular disease. Case presentation: We herein describe a 58-year-old woman who presented with syncopal episodes and dyspnea on exertion with a left atrial (LA) mass, scheduled for surgical removal and mitral valve replacement. Nearly 3 months later, the patient developed dyspnea, fever, and a sore throat, resulting in hospital admission with suspected COVID-19. During the diagnostic evaluation, a larger LA mass was detected. The mass seemed to be a COVID-19–induced organized thrombus with prosthetic mitral valve malfunction. Resection was, therefore, planned. An immunohistochemistry study revealed a liposarcoma. Conclusions: The unusual early recurrence of liposarcomas and the misdiagnosis with COVID-19–induced thrombosis are the hallmark of the present case. © 2021, The Author(s).