A case of a pregnant patient with COVID-19 infection treated with emergency c-section and extracorporeal membrane oxygenation.


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
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

2982-2985

Informations de copyright

© 2021 Wiley Periodicals LLC.

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Auteurs

Joshua A Rushakoff (JA)

Department of Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Alexander Polyak (A)

Department of Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Jayne Caron (J)

Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Kristin Parrinella (K)

Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Reza Salabat (R)

Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Melissa Wong (M)

Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Dominic Emerson (D)

Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.

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