Brachial Artery Thrombosis in a Covid-19 Positive Patient with Thoracic Outlet Syndrome

Nathan Heineman, Daniel Koehler

Research output: Contribution to journalArticlepeer-review


Severe coronavirus disease 2019 (COVID-19) has been complicated by coagulopathy and thrombotic events including venous thromboembolism, pulmonary embolism, and arterial thrombus at a rate higher than has traditionally been seen with sepsis-induced coagulopathy or disseminated intravascular coagulation leading most centers to treat hospitalized patients with prophylactic anticoagulation. We present a case of a patient with thoracic outlet syndrome who presents with brachial artery thrombosis in the setting of infection with COVID-19. Both thoracic outlet syndrome and COVID-19 infection are independently associated with increased risk of thrombotic events. The induced hypercoagulable state from COVID-19 infection may result in acute arterial thrombosis in patients with predisposing anatomic differences consistent with thoracic outlet syndrome. Level of Evidence: V.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalThe Iowa orthopaedic journal
Issue number2
StatePublished - Dec 1 2021


  • compartment syndrome
  • COVID-19
  • hypercoagulable
  • thoracic outlet syndrome
  • thrombus

ASJC Scopus subject areas

  • General Medicine


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