Microvascular injuries, secondary edema, and inconsistencies in lung vascularization between affected and nonaffected pulmonary segments of non-critically ill hospitalized COVID-19 patients presenting with clinical deterioration.
Cécile MaincentChristophe PerrinGilles ChironiMarie Baqué-JustonFrédéric BerthierBenoît PaulmierFlorent HugonnetClaire DittlotRyan Lukas FarhadJulien RenvoiseBenjamin SerranoValérie NatafFrançois MocquotOlivia Keita-PerseYann-Erik ClaessensMarc FaraggiPublished in: Therapeutic advances in respiratory disease (2022)
In non-critically ill patients without evidence of superinfection, pulmonary embolism, macroscopic distal thrombosis or cardiac dysfunction, various types of damage may contribute to clinical deterioration including 1/ microvascular injuries and secondary edema, 2/ inconsistencies in lung segments vascularization with hypervascularization of consolidated segments contrasting with hypoperfusion of not affected segments, suggesting a dysregulation of the balance in perfusion between segments affected by COVID-19 and others.