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Case Reports in Pulmonology
Volume 2018 (2018), Article ID 7031731, 4 pages
Case Report

Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension

1Department of Internal Medicine, Houston Methodist Hospital, Houston, TX, USA
2Houston Methodist Pulmonary Hypertension Center, Weill Cornell College of Medicine, Houston, TX, USA
3Houston Methodist Lung Transplant Center, Houston Methodist Hospital, Houston, TX, USA

Correspondence should be addressed to Zeenat Safdar

Received 18 August 2017; Accepted 9 November 2017; Published 15 January 2018

Academic Editor: Reda E. Girgis

Copyright © 2018 Humna Abid Memon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Current guidelines do not recommend pregnancy in patients with pulmonary arterial hypertension (PAH). This is due to the associated high mortality, which both dissuades PAH patients from becoming pregnant and encourages termination of pregnancy due to high maternal mortality risk. As a result, there is a lack of data and, consequently, there are only general guidelines available for management of pregnancy in PAH patients. Additionally, novel therapeutic strategies such as extracorporeal membrane oxygenation (ECMO), although used in the management of nonpregnant PAH patients as a bridge to lung transplantation, have not been used to treat cardiopulmonary collapse in pregnant PAH patients. In an attempt to bridge this paucity of data, we report the successful use of ECMO in resuscitation and management of a pregnant PAH patient who experienced cardiopulmonary collapse following a caesarian section.