ABSTRACT
The authors report successful veno-venous extracorporeal membrane oxygenation (VV-ECMO) procedure for severe acute respiratory distress syndrome (ARDS) associated with a new coronavirus infection (COVID-19) in a 28-year-old pregnant woman. VV-ECMO was started in 11 days after onset of disease (9 days after caesarean section at 29 weeks of pregnancy for severe pre-eclampsia). Before VV-ECMO procedure, PaCO2 was 50.9 mm Hg, PaO2 68.2 mm Hg, and PaO2 /FiO2 68 under mechanical ventilation with FiO2 100%. Baseline parameters of VV-ECMO were as follows: rotor performance 3200 rpm, volumetric per-fusion rate 4200 ml/min, gas flow 5.5 l/min. After 15 days, the patient was successfully weaned from VV-ECMO. After 5 days, she was transferred to spontaneous breathing. The patient was discharged in 28 days after weaning from VV-ECMO. Apparently, timely VV-ECMO procedure in intensive care of pregnant women with COVID-19 and severe hypoxemic respiratory failure in-creases survival and provides time for lung recovery. © 2023, Media Sphera Publishing Group. All rights reserved.