Bui Phuong, Mascaro P Gabriel, Henao-Mejia Juanita, Patel Selina
Brigham and Women's Hospital, Department of Anesthesiology and Perioperative and Pain Medicine, 75 Francis Street, Boston, MA 02115, USA.
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.
Case Rep Anesthesiol. 2019 Apr 8;2019:2623608. doi: 10.1155/2019/2623608. eCollection 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.
患有心力衰竭的产科患者接受剖宫产手术风险很高，这些患者的围手术期护理带来了重大的多学科挑战。与非产科患者群体不同，机械循环支持在心力衰竭产妇中的潜在作用尚未明确，体外膜肺氧合（ECMO）的使用也鲜有报道。我们报告了一例极度肥胖、失代偿性心力衰竭、肺动脉高压并合并先兆子痫的患者，为紧急剖宫产手术而进行预防性ECMO插管的病例。
