A case of a pregnant patient with COVID-19 infection treated with emergency c-section and extracorporeal membrane oxygenation.
Coronavirus disease 2019 (COVID-19) causes the development of severe acute respiratory distress syndrome. Pregnant women may be at increased risk for the development of severe disease. We present the case of a pregnant patient who developed respiratory failure due to COVID-19 and rapidly decompensated requiring intubation. Despite mechanical ventilation, the patient's respiratory status continued to worsen. At bedside, cardiothoracic surgeons, obstetricians, intensivists, and neonatologists discussed balancing the risk of COVID-19 and respiratory failure to the patient, premature delivery to the neonate, potential coagulopathy associated with COVID-19, and the need for anticoagulation with mechanical circulatory support. Ultimately, the decision was to proceed with emergency cesarean section delivery in the intensive care unit followed by peri-partum veno-venous extracorporeal membrane oxygenation initiation. The patient and neonate were both discharged home in stable condition.
['Rushakoff|Joshua A|JA|', 'Polyak|Alexander|A|', 'Caron|Jayne|J|', 'Parrinella|Kristin|K|', 'Salabat|Reza|R|', 'Wong|Melissa|M|', 'Emerson|Dominic|D|']
D000086382:COVID-19 D002585:Cesarean Section D015199:Extracorporeal Membrane Oxygenation D005260:Female D006801:Humans D007231:Infant, Newborn D011247:Pregnancy D011251:Pregnancy Complications, Infectious D012128:Respiratory Distress Syndrome D000086402:SARS-CoV-2
COVID-19 infection extracorporeal membrane oxygenation clinical review pregnancy