Multiple simultaneous embolic cerebral infarctions 11 months after COVID-19

Abstract Background The coronavirus disease (COVID-19) pandemic has led to an unprecedented worldwide burden of disease. However, little is known the longer-term implications and consequences COVID-19. One these may be a COVID-19 associated coagulopathy that can present as venous thromboembolism (VTE) further, multiple paradoxical cerebral emboli. Case presentation A 51 year old man presented emergency department with simultaneous embolic infarctions 11 months after mild In subacute phase illness patient developed increasing shortness breath was found have elevated D-dimer bilateral segmental pulmonary He subsequently treated 3 anticoagulation for provoked VTE. then initial diagnosis where no traditional underlying stroke etiology determined. patent foramen ovale (PFO) were suggesting thromboembolic event due coagulopathy. Conclusions This case report highlights one potentially more serious complications long-term VTE persistent seen almost illness. Due highly prevalent nature PFO in general population, could lead ischemic stroke. possibility which persist many beyond