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Preemptive ECMO Cannulation in a Patient with Severe Left Ventricular Systolic Dysfunction Undergoing Cesarean Delivery. | LitMetric

Preemptive ECMO Cannulation in a Patient with Severe Left Ventricular Systolic Dysfunction Undergoing Cesarean Delivery.

Case Rep Anesthesiol

University of Miami, Miller School of Medicine, Department of Anesthesiology, Perioperative Medicine and Pain Management, 1611 NW 12th Ave, C-301, Miami, FL 33136, USA.

Published: April 2019

Obstetric patients with heart failure undergoing cesarean delivery are high risk and the perioperative care of these patients poses significant multidisciplinary challenges. In contrast to the nonobstetric patient population the potential role of mechanical circulatory support in parturients with heart failure is not well established and the use of extracorporeal membrane oxygenation (ECMO) has rarely been reported. We report the case of a super morbidly obese patient with decompensated heart failure, pulmonary hypertension, and superimposed preeclampsia undergoing preemptive ECMO cannulation for urgent cesarean delivery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476149PMC
http://dx.doi.org/10.1155/2019/2623608DOI Listing

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