COVID-19's impact on lung tissue: A case report

•Varying pathology observed in COVID-19 patients undergoing pulmonary resection•Vascular dysfunction associated with shunting secondary to pulmonary microthrombi•Microvascular occlusions contribute to severe hypoxia and need for anticoagulation.•Thoracic surgery can be carried out safely during the pandemic.•Clinical pathways for COVID-19 patients may need to be re-evaluated.