tetano
Editor, Senior Moderator
J Card Surg
. 2021 May 11.
doi: 10.1111/jocs.15623. Online ahead of print.
A case of a pregnant patient with COVID-19 infection treated with emergency c-section and extracorporeal membrane oxygenation
Joshua A Rushakoff[SUP] 1 [/SUP], Alexander Polyak[SUP] 1 [/SUP], Jayne Caron[SUP] 2 [/SUP], Kristin Parrinella[SUP] 2 [/SUP], Reza Salabat[SUP] 3 [/SUP], Melissa Wong[SUP] 2 [/SUP], Dominic Emerson[SUP] 3 [/SUP]
Affiliations
Abstract
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.
Keywords: COVID-19 infection; clinical review; extracorporeal membrane oxygenation; pregnancy.
. 2021 May 11.
doi: 10.1111/jocs.15623. Online ahead of print.
A case of a pregnant patient with COVID-19 infection treated with emergency c-section and extracorporeal membrane oxygenation
Joshua A Rushakoff[SUP] 1 [/SUP], Alexander Polyak[SUP] 1 [/SUP], Jayne Caron[SUP] 2 [/SUP], Kristin Parrinella[SUP] 2 [/SUP], Reza Salabat[SUP] 3 [/SUP], Melissa Wong[SUP] 2 [/SUP], Dominic Emerson[SUP] 3 [/SUP]
Affiliations
- PMID: 33974311
- DOI: 10.1111/jocs.15623
Abstract
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.
Keywords: COVID-19 infection; clinical review; extracorporeal membrane oxygenation; pregnancy.