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Pregnancy complicated by influenza A ARDS requiring consecutive VV-ECMO treatment with successful vaginal delivery

tetano

Editor, Senior Moderator
J Artif Organs. 2018 May 17. doi: 10.1007/s10047-018-1050-5. [Epub ahead of print]
[h=1]Pregnancy complicated by influenza A ARDS requiring consecutive VV-ECMO treatment with successful vaginal delivery.[/h] Radsel P[SUP]1[/SUP], Gorjup V[SUP]2[/SUP], Jazbec A[SUP]2[/SUP], Knafelj R[SUP]2[/SUP], Lucovnik M[SUP]3[/SUP], Kavsek G[SUP]3[/SUP], Kornhauser Cerar L[SUP]3[/SUP], Noc M[SUP]2[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] A 29-year-old woman presented with influenza A ARDS at 23[SUP]+0[/SUP] weeks of gestation. Mechanical ventilation failed and VV-ECMO was started in a non-ECMO hospital. Transportation was performed on ECMO. Within 5 days ECMO weaning was successful. Fetal condition was stable, and decision to continue pregnancy was taken. However, second VV-ECMO was needed due to ventilator-associated pneumonia. At 25[SUP]+6[/SUP] weeks, the patient spontaneously delivered a neonate vaginally. Patient's condition improved, and ECMO could be removed 10 days postpartum. 2-year follow-up showed no severe consequences in the mother and the child.


[h=4]KEYWORDS:[/h] ARDS; Influenza A; Pregnancy; VV-ECMO; Vaginal delivery

PMID: 29774445 DOI: 10.1007/s10047-018-1050-5
 
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