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Pregnancy complicated by influenza A ARDS requiring consecutive VV-ECMO treatment with successful vaginal delivery

  • Peter Radsel
  • Vojka Gorjup
  • Anja Jazbec
  • Rihard Knafelj
  • Miha Lucovnik
  • Gorazd Kavsek
  • Lilijana Kornhauser Cerar
  • Marko Noc
Case Report Artificial Lung / ECMO
  • 70 Downloads

Abstract

A 29-year-old woman presented with influenza A ARDS at 23+0 weeks of gestation. Mechanical ventilation failed and VV-ECMO was started in a non-ECMO hospital. Transportation was performed on ECMO. Within 5 days ECMO weaning was successful. Fetal condition was stable, and decision to continue pregnancy was taken. However, second VV-ECMO was needed due to ventilator-associated pneumonia. At 25+6 weeks, the patient spontaneously delivered a neonate vaginally. Patient’s condition improved, and ECMO could be removed 10 days postpartum. 2-year follow-up showed no severe consequences in the mother and the child.

Keywords

Influenza A ARDS VV-ECMO Pregnancy Vaginal delivery 

Notes

Acknowledgements

Medical staff at Department of Intensive Internal Medicine and Department of Gynecology and Obstetrics, UMC Ljubljana.

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Copyright information

© The Japanese Society for Artificial Organs 2018

Authors and Affiliations

  • Peter Radsel
    • 1
  • Vojka Gorjup
    • 1
  • Anja Jazbec
    • 1
  • Rihard Knafelj
    • 1
  • Miha Lucovnik
    • 2
  • Gorazd Kavsek
    • 2
  • Lilijana Kornhauser Cerar
    • 2
  • Marko Noc
    • 1
  1. 1.Department of Intensive Internal MedicineUniversity Medical Center LjubljanaLjubljanaSlovenia
  2. 2.Division of Gynecology and Obstetrics, Department of PerinatologyUniversity Medical Center LjubljanaLjubljanaSlovenia

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