Introduction
It has been reported that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may be associated with endothelial inflammation and an increasing risk of hemorrhage.1 Because the infection is associated with a high risk of aerosolization and related healthcare provider contamination, the treatment of vascular lesions has to be as conservative as possible.2 From March, 1st 2020 to May 28th 2020, 74 patients with severe coronavirus disease 2019 (COVID-19) were hospitalized in our intensive care unit (ICU) and 35 patients benefiting from surgical tracheotomy (47%). The realization of tracheotomy made sense in a context of pandemic and ICU overload because tracheotomy allowed the reduction of the duration of mechanical ventilation and the faster discharge of patients from the ICU.2 Among them, three individuals (8.5%) developed severe bleeding from the superior thyroid artery. Two patients benefited from interventional radiology and one had surgical exploration and right superior thyroid artery ligation.
In this paper, we report the history and the conservative management of the two COVID-19 patients who had vascular lesion.