Acute thrombotic occlusion involving three coronary arteries. A unique association with COVID‐19 pneumonia

Key Clinical Message Respiratory viruses, particularly COVID‐19, can be associated with severe cases of myocardial infarction (MI). Physicians should have a low threshold for MI in COVID‐19 patients who present with persistent chest pain as MI in rapidly deteriorating cases can be missed. Prompt response includes both timely diagnosis and swift treatment. Abstract The coronavirus disease 2019 (COVID‐19) is associated with coronary artery thrombosis. Many cases of single‐vessel and few cases of two‐vessel thrombosis were reported. Herein, we report a unique association in a middle‐aged man diagnosed with COVID‐19 and presented later with acute myocardial infarction causing cardiogenic shock. The patient was found to have three‐vessel thrombosis.