Key result
Extracorporeal membrane oxygenation (ECMO) was successfully used for the resuscitation and management of a pregnant PAH patient who experienced cardiopulmonary collapse following a caesarian section.
Why the study?
Does extracorporeal membrane oxygenation (ECMO) improve outcomes in pregnant patients with pulmonary arterial hypertension experiencing postpartum cardiopulmonary collapse?
Case Report (n=1)
Does extracorporeal membrane oxygenation (ECMO) improve outcomes in pregnant patients with pulmonary arterial hypertension experiencing postpartum cardiopulmonary collapse?
ECMO may be a viable rescue strategy for postpartum cardiopulmonary collapse in patients with pulmonary arterial hypertension.
May support ECMO consideration in rare postpartum PAH collapse; hypothesis-generating and should not yet change practice.
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.
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Memon et al. (2018) conducted a case report in Pulmonary Arterial Hypertension (PAH) (n=1). Extracorporeal membrane oxygenation (ECMO) was evaluated on Successful resuscitation and management of cardiopulmonary collapse. Extracorporeal membrane oxygenation (ECMO) was successfully used for the resuscitation and management of a pregnant PAH patient who experienced cardiopulmonary collapse following a caesarian section.
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