Article

Extracorporeal membrane oxygenation in a patient with peripartum cardiomyopathy.

Department of Thoracic and Cardiovascular Surgery, Yongdong Severance Hospital, Yonsei University Medical College, Seoul, Republic of Korea.
The Annals of thoracic surgery (impact factor: 3.74). 08/2007; 84(1):262-4. DOI:10.1016/j.athoracsur.2007.02.050 pp.262-4
Source: PubMed

ABSTRACT An 18-year-old pregnant woman had cardiac failure and severe pulmonary edema developed immediately after the delivery of her baby. The patient's respiratory distress was severe and her oxygen saturation was under 50%, despite full mechanical ventilatory support. Echocardiogram revealed an ejection fraction of 18%, and she was diagnosed with peripartum cardiomyopathy. Her vital signs were unstable when she received conventional treatment for acute heart failure. Extracorporeal membrane oxygenation was applied 3 hours after the patient was transferred to the emergency department. The patient was weaned from extracorporeal membrane oxygenation 28 hours afterward, and she was extubated 2 days after extracorporeal membrane oxygenation. The patient was discharged 12 days after admission.

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Keywords

18-year-old pregnant woman
 
3 hours
 
acute heart failure
 
conventional treatment
 
extracorporeal membrane oxygenation
 
extracorporeal membrane oxygenation 28 hours
 
full mechanical ventilatory support
 
oxygen saturation
 
peripartum cardiomyopathy
 

Hong Suk Yang