A case of a pregnant patient with COVID-19 infection treated with emergency c-section and extracorporeal membrane oxygenation.
COVID-19 infection
clinical review
extracorporeal membrane oxygenation
pregnancy
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
29
04
2021
received:
12
04
2021
accepted:
01
05
2021
pubmed:
12
5
2021
medline:
14
7
2021
entrez:
11
5
2021
Statut:
ppublish
Résumé
Coronavirus disease 2019 (COVID-19) causes the development of severe acute respiratory distress syndrome. Pregnant women may be at increased risk for the development of severe disease. We present the case of a pregnant patient who developed respiratory failure due to COVID-19 and rapidly decompensated requiring intubation. Despite mechanical ventilation, the patient's respiratory status continued to worsen. At bedside, cardiothoracic surgeons, obstetricians, intensivists, and neonatologists discussed balancing the risk of COVID-19 and respiratory failure to the patient, premature delivery to the neonate, potential coagulopathy associated with COVID-19, and the need for anticoagulation with mechanical circulatory support. Ultimately, the decision was to proceed with emergency cesarean section delivery in the intensive care unit followed by peri-partum veno-venous extracorporeal membrane oxygenation initiation. The patient and neonate were both discharged home in stable condition.
Identifiants
pubmed: 33974311
doi: 10.1111/jocs.15623
pmc: PMC8242885
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2982-2985Informations de copyright
© 2021 Wiley Periodicals LLC.
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