Abstract
Rationale: COVID-19 virus is a still worldwide infectious disease with a subsequent severe acute respiratory syndrome (SARS). A cardiovascular impact is a considerable major factor in morbidity and mortality in this pandemic. Coronary artery involvement and cardiac injury may be a serious association. Both cardiac troponins I and T are the diagnostic biomarkers for myocardial injury. D-dimer is an estimator of hypercoagulability. Patient concerns: A 26-year-old, housewife, married, Egyptian female patient was presented to the physician outpatient clinic (POC) with COVID-19 pneumonia and ischemic heart disease. Diagnosis: Pneumonic COVIDOMA with remarkable ischemic injury in a young female patient. Interventions: Chest CT, electrocardiography, and oxygenation. Outcomes: Dramatic response and Good outcomes in the presence of remarkably serious risk factors were the results. Lessons: Female sex with ischemic heart disease, elevated troponin, and elevated D-dimer are constellation risk factors for serious COVID-19. pneumonia. The association of COVID pneumonia with ischemic heart disease is highly interesting in case management. COVIDOMA is a new description for a mass-like pneumonic consolidation in COVID-19 infection
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