Korean J Thorac Cardiovasc Surg.  2001 Apr;34(4):356-360.

Perioperative ECMO for Postpartum Cardiogemic Shock with Severe Pulmonary Cdema

• Koo WM
• Lee G
• Lee HJ
• Kim DS
• Lim CY

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.

Keyword

Extracorporeal membrance oxygenation; Mitral stenosis; Pulmonary edema

MeSH Terms

Adult
Catheterization
Diuretics
Extracorporeal Membrane Oxygenation*
Female
Heart Failure
Hemodynamics
Humans
Infant
Membranes
Mitral Valve Stenosis
Oxygen
Postpartum Period*
Pulmonary Edema
Shock*
Weaning
Diuretics
Oxygen