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Postpartum Cardiogenic Shock Diagnosed by Focused Cardiac Ultrasound and Treated With Venoarterial Extracorporeal Membrane Oxygenation: A Case Report

Lembrikov, Ilya MD*; Rudis, Ehud MD; Weiniger, Carolyn F. MBChB*,‡

doi: 10.1213/XAA.0000000000000909
Case Reports
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We present the case of a primigravid patient, who developed cardiogenic shock during the early postpartum period in the setting of retained placenta, uterine atony, and hemorrhage. Focused cardiac ultrasound played a central role in identifying the cause of hemodynamic instability. The decision to initiate venoarterial extracorporeal membrane oxygenation was instrumental in the successful outcome for our patient, characterized by a full recovery without major neurological and cardiovascular sequelae.

From the Departments of *Anesthesiology and Critical Care Medicine

Cardiothoracic Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel

Division of Anesthesiology & Critical Care & Pain, Tel Aviv Medical Center, Tel Aviv, Israel.

Accepted for publication September 4, 2018.

Funding: None.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations are provided in the HTML and PDF versions of this article on the journal’s website.

Address correspondence to Ilya Lembrikov, MD, Department of Anesthesiology and Critical Care Medicine, Kiryat Hadassah, Hadassah Ein Kerem, PO Box 12000, Jerusalem, Israel 91120. Address e-mail to lembrikovi@gmail.com.

Copyright © 2018 International Anesthesia Research Society
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