Document Type

Article

Publication Date

5-17-2022

Publication Title

BMJ Case Rep

Abstract

In critically ill patients with COVID-19, established therapies in the setting of respiratory failure include invasive mechanical ventilation and extracorporeal membrane oxygenation (ECMO). This case report describes a pregnant woman in her 30s who was hospitalised at 35 weeks gestation with moderate COVID-19 disease. Her condition worsened following delivery, and she required intubation, maximum ventilatory support and ECMO. Because of the severe and irreversible nature of her lung disease, she ultimately underwent bilateral lung transplantation. This case showcases lung transplantation as an alternative life-saving option for patients with severe COVID-19 associated respiratory failure refractory to ECMO and mechanical ventilation. Further studies are needed to develop a multidisciplinary approach for patient selection for transplantation within the context of COVID-19 and to assess long-term outcomes.

Medical Subject Headings

COVID-19; Extracorporeal Membrane Oxygenation; Female; Humans; Lung Transplantation; Postpartum Period; Pregnancy; Respiratory Insufficiency

PubMed ID

35580959

Volume

15

Issue

5

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