Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension

Autor: Humna Abid Memon, Zeenat Safdar, Ahmad Goodarzi
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Case Reports in Pulmonology, Vol 2018 (2018)
Druh dokumentu: article
ISSN: 2090-6846
2090-6854
DOI: 10.1155/2018/7031731
Popis: Current guidelines do not recommend pregnancy in patients with pulmonary arterial hypertension (PAH). This is due to the associated high mortality, which both dissuades PAH patients from becoming pregnant and encourages termination of pregnancy due to high maternal mortality risk. As a result, there is a lack of data and, consequently, there are only general guidelines available for management of pregnancy in PAH patients. Additionally, novel therapeutic strategies such as extracorporeal membrane oxygenation (ECMO), although used in the management of nonpregnant PAH patients as a bridge to lung transplantation, have not been used to treat cardiopulmonary collapse in pregnant PAH patients. In an attempt to bridge this paucity of data, we report the successful use of ECMO in resuscitation and management of a pregnant PAH patient who experienced cardiopulmonary collapse following a caesarian section.
Databáze: Directory of Open Access Journals
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