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A potential misdiagnosis in the COVID-19 pandemic era: superimposed thrombosis or recurrence
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  • Arezou Zoroufian,
  • Reza Mohseni badalabadi,
  • Mehrdad Mahalleh,
  • Seyyed Mojaba Ghorashi,
  • Sharam Momtahen,
  • Negar Omidi
Arezou Zoroufian
Tehran Heart Center

Corresponding Author:arezou.zoroufian@yahoo.com

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Reza Mohseni badalabadi
Tehran Heart Center
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Mehrdad Mahalleh
Tehran Heart Center
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Seyyed Mojaba Ghorashi
Tehran Heart Center
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Sharam Momtahen
Tehran Heart Center
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Negar Omidi
Tehran Heart Center
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Abstract

The clinical manifestation of coronavirus disease 2019 (COVID-19) overlap with other disorders especially cardiovascular diseases (CVD). We report a 58 years old female presented with syncope episodes and dyspnea on exertion with the left atrial mass, candidate for surgical removal and mitral valve replacement. Nearly 3 months later, she developed dyspnea, fever, and a sore throat cause to admit her with suspected COVID-19. During diagnostic evaluation, a larger LA mass detected that seemed to be COVID-19 induced organized thrombus with prosthetic mitral valve malfunction. the mass resected and immunohistochemistry revealed liposarcoma. The unusual early recurrence of liposarcoma and misdiagnosis with COVID-19 induced thrombosis are the hallmark of the present case.