Key result
VA ECMO successfully supports hemodynamics during cesarean section in fulminant peripartum cardiomyopathy.
Case Report (n=1)
No
ECMO can be successfully used to optimize hemodynamic and respiratory status during general anesthesia for cesarean section in patients with severe peripartum cardiomyopathy.
May support ECMO feasibility in peripartum cardiomyopathy cesarean delivery; hypothesis-generating and should not yet change practice.
Peripartum cardiomyopathy is a rare form of cardiomyopathy that is associated with significant mortality. It can cause a cardiac arrest during cesarean section even though the patient does not have any previous symptom and sign. The most important thing of anesthesia in this patient is an optimization of hemodynamic and respiratory status. We report the successful general anesthesia using of extracorporeal membrane oxygenation for cesarean section in a 34-year-old woman with fulminant peripartum cardiomyopathy.
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Kim et al. (2014) conducted a case report in Peripartum cardiomyopathy (n=1). Extracorporeal membrane oxygenation (ECMO) during general anesthesia was evaluated on Maternal and fetal survival and hemodynamic stability. Extracorporeal membrane oxygenation successfully supported pulmonary and hemodynamic function during general anesthesia for a cesarean section in a patient with fulminant peripartum cardiomyopathy.
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