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Alyamani O, Mazzeffi MA, Bharadwaj S, et al. Venovenous Extracorporeal Membrane Oxygenation to Prolong Pregnancy: A Case Report. A A Pract. 2018;10(9):229-231doi: 10.1213/XAA.0000000000000671.
Alyamani, O., Mazzeffi, M. A., Bharadwaj, S., Galey, J. H., Yao, R., Shah, N. G., & Malinow, A. M. (2018). Venovenous Extracorporeal Membrane Oxygenation to Prolong Pregnancy: A Case Report. A&A practice, 10(9), 229-231. https://doi.org/10.1213/XAA.0000000000000671
Alyamani, Omar, et al. "Venovenous Extracorporeal Membrane Oxygenation to Prolong Pregnancy: A Case Report." A&A practice vol. 10,9 (2018): 229-231. doi: https://doi.org/10.1213/XAA.0000000000000671
Alyamani O, Mazzeffi MA, Bharadwaj S, Galey JH, Yao R, Shah NG, Malinow AM. Venovenous Extracorporeal Membrane Oxygenation to Prolong Pregnancy: A Case Report. A A Pract. 2018 May 01;10(9):229-231. doi: 10.1213/XAA.0000000000000671. PMID: 29708916.
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A A Pract. 2018 May 01;10(9):229-231. doi: 10.1213/XAA.0000000000000671.

Venovenous Extracorporeal Membrane Oxygenation to Prolong Pregnancy: A Case Report.

A&A practice

Omar Alyamani, Michael A Mazzeffi, Shobana Bharadwaj, Jessica H Galey, Ruofan Yao, Nirav G Shah, Andrew M Malinow

Affiliations

  1. From the Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.
  2. Department of Anesthesia, Faculty of Medicine & Medical Sciences, KAU, Jeddah, Saudi Arabia.
  3. Departments of Obstetrics/Gynecology and Reproductive Sciences.
  4. Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

PMID: 29708916 DOI: 10.1213/XAA.0000000000000671

Abstract

We report a gravida in fulminant acute respiratory distress syndrome, mechanically ventilated at 27 weeks estimated gestational age, who further deteriorated into severe combined hypercarbic, hypoxemic respiratory failure. At 30 weeks estimated gestational age, she was placed on venovenous extracorporeal membrane oxygenation (ECMO) because of refractory respiratory failure. Her physical status improved without fetal deterioration. She was managed expectantly in an effort to allow continued fetal maturation. Six days later, complications of ECMO (pulmonary hemorrhage) led to emergent abdominal delivery of a living male child. She was successfully weaned from ECMO 8 days later. The implications of ECMO during pregnancy are discussed.

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