Low fetal age is not a contraindication for extracorporeal membranous oxygenation in COVID-19-related ARDS

J Card Surg. 2022 Apr;37(4):1059-1062. doi: 10.1111/jocs.16251. Epub 2022 Jan 20.

Abstract

Introduction: The coronavirus disease 2019 (COVID-19) causes a small proportion of patients to be admitted to intensive care units, where they sometimes require extracorporeal membrane oxygenation (ECMO). The literature on pregnant women with COVID-19 who require ECMO is sparse.

Case report: We describe here the earliest-fetal-age pregnant patient with COVID-19 who underwent ECMO yet reported, who kept her child while under close follow-up with magnetic resonance imagery and ultrasound.

Conclusion: The management of acute respiratory distress syndrome (ARDS) in pregnant women, including ARDS secondary to COVID-19 and those cases which are not eligible for fetal delivery, may benefit from the assistance of ECMO even in the early pregnancy.

Keywords: perfusion.

Publication types

  • Case Reports

MeSH terms

  • COVID-19* / complications
  • COVID-19* / therapy
  • Child
  • Contraindications
  • Extracorporeal Membrane Oxygenation*
  • Female
  • Gestational Age
  • Humans
  • Pregnancy
  • Respiratory Distress Syndrome* / diagnostic imaging
  • Respiratory Distress Syndrome* / etiology
  • Respiratory Distress Syndrome* / therapy
  • SARS-CoV-2