COVID-19-Related Acute Respiratory Distress Syndrome in a Pregnant Woman Supported on ECMO: The Juxtaposition of Bleeding in a Hypercoagulable State

Mohsen Khalil; Abid Butt; Eiad Kseibi; Eyad Althenayan; Manal Alhazza; Hend Sallam

doi:10.3390/membranes11070544

COVID-19-Related Acute Respiratory Distress Syndrome in a Pregnant Woman Supported on ECMO: The Juxtaposition of Bleeding in a Hypercoagulable State

Membranes (Basel). 2021 Jul 17;11(7):544. doi: 10.3390/membranes11070544.

Authors

Mohsen Khalil¹, Abid Butt¹, Eiad Kseibi¹, Eyad Althenayan¹, Manal Alhazza¹, Hend Sallam¹

Affiliation

¹ King Faisal Specialist Hospital & Research Centre, Riyadh 11211, Saudi Arabia.

Abstract

A 40-year-old pregnant woman at 28 weeks of gestation was diagnosed with severe acute respiratory failure syndrome (ARDS) due to coronavirus disease 2019 (COVID-19). She had severe hypoxemia despite the use of mechanical ventilation and muscle relaxant infusion. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) was used, and she had a cesarian section while on ECMO support. She developed disseminated intravascular coagulation (DIC) with overt bleeding. This was managed by a multidisciplinary team (MDT) and a change of the ECMO circuit resulted in a dramatic improvement of her coagulation profile. Both the mother and the baby were discharged and went home in good condition.

Keywords: COVID-19; ECMO; coagulopathy; pregnant.

Publication types

Case Reports