Cesarean section in patient with metastatic Ewing sarcoma requiring VA-ECMO support

Joao R. Breda, Oscar Aljure, Anna K. Sfakianaki, Matthias Loebe

Research output: Contribution to journalArticlepeer-review

Abstract

A 26-year-old pregnant woman, with multiple metastatic Ewing sarcoma, presented with a sternal mass that began enlarging during pregnancy. Due to high-risk pregnancy, the patient was discussed in a multidisciplinary meeting and intubation was considered too risky without cardiopulmonary support. Computed tomography showed extrinsic tumor compression of the right ventricle outflow tract. Veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) was initiated before general anesthesia, followed by Cesarean section (C-section). VA ECMO was initiated with the patient in the awake position, ECMO support was discontinued when the patient had stable ventilation and hemodynamics. This case represents a unique indication of VA ECMO, during C-section, with maternal and fetal survival.

Original languageEnglish (US)
Pages (from-to)4756-4758
Number of pages3
JournalJournal of cardiac surgery
Volume36
Issue number12
DOIs
StatePublished - Dec 2021

Keywords

  • circulatory temporary support
  • extracorporeal membrane oxygenation
  • pregnancy

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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