Perioperative ECMO for Postpartum Cardiogemic Shock with Severe Pulmonary Cdema.
- Author:
Won Mo KOO
1
;
Gun LEE
;
Hyeon Jae LEE
;
Duk Sil KIM
;
Chang Young LIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Heart Center, Pundang CHA General Hospital, Collage of Medicine, Pochon CHA University, Korea.
- Publication Type:Case Report
- Keywords:
Extracorporeal membrance oxygenation;
Mitral stenosis;
Pulmonary edema
- MeSH:
Adult;
Catheterization;
Diuretics;
Extracorporeal Membrane Oxygenation*;
Female;
Heart Failure;
Hemodynamics;
Humans;
Infant;
Membranes;
Mitral Valve Stenosis;
Oxygen;
Postpartum Period*;
Pulmonary Edema;
Shock*;
Weaning
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(4):356-360
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Temporary and short-term cardiac assists have been used for management of cardiac failure in a wide variety of application. Among these, extra-corporeal membrane oxygenation (ECMO) can be used if conventional therapies have been unsuccessful. Although ECMO has been utilized often in infants, the indications for ECMO in the adult population are not well delineated and the results have been less encouraging. This is a case of a 32 year-old female who has had underlying mitral stenosis. When admitted, she was in shock and presented with severe post-partum pulmonary edema unresponsive to inotropics, pulmonary vasodilator , and diuretics. She was put on ECMO for 14 hours by right femoral venoarterial cannulation and improved immediately after the application of ECMO. Afterwards, double valve replacement was done, and ECMO was continued post-operatively. The total application of ECMO was 62 hours including valve operation, and the weaning of ECMO was accomplished successfully under stable hemodynamics, improved pulmonary edema, and correction of underlying pathophysiology. She was discharged on post-operative day 30 without specific complications.
