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

J Artif Organs. 2018 Dec;21(4):471-474. doi: 10.1007/s10047-018-1050-5. Epub 2018 May 17.

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: ARDS; Influenza A; Pregnancy; VV-ECMO; Vaginal delivery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Delivery, Obstetric / methods*
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Humans
  • Infant, Newborn
  • Influenza A virus*
  • Influenza, Human / complications*
  • Pregnancy
  • Pregnancy Complications, Infectious / therapy*
  • Pregnancy Complications, Infectious / virology
  • Respiration, Artificial / methods*
  • Respiratory Distress Syndrome / diagnosis
  • Respiratory Distress Syndrome / etiology
  • Respiratory Distress Syndrome / therapy*
  • Tomography, X-Ray Computed