{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:30:34Z","timestamp":1777915834483,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Data on extra-corporeal membrane oxygenation (ECMO) therapy for pregnant patients with Coronavirus 2019 (COVID-19) infection are limited. Here we report a case of an emergency cesarean section performed while the COVID-19 positive mother was on ECMO support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>A 36-year-old COVID-19 positive patient at 26 weeks gestational age presented with respiratory failure requiring extra-corporeal membrane oxygenation therapy. Nine days later fetal distress demanded an emergency C-section. After 5 weeks on ECMO, the patient was weaned off. Both mother and child were discharged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The decision to perform an urgent C-section is one that requires meticulous thought from the attending team. Pulmonary maturation is key as pregnancy may need to be terminated at any time during ECMO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Data on ECMO support for pregnant patients with COVID-19 infection are scarce. Best results can be achieved ensuring adequate anticoagulation, meticulous choice of cannulas, continued fetal monitoring, early lung maturation, and precision timing of delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591211049769","type":"journal-article","created":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T09:32:17Z","timestamp":1633599137000},"page":"405-409","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Extra-corporeal membrane oxygenation and emergency C-section for a pregnant COVID-19 positive patient"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7814-7019","authenticated-orcid":false,"given":"Alejandro","family":"Quintero","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery & Mobile ECMO, Pontifical Bolivarian University, Cardio VID Clinic, Medell\u00edn, Antioquia, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9728-3910","authenticated-orcid":false,"given":"Eric E","family":"Vinck","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery & Mobile ECMO, Pontifical Bolivarian University, Cardio VID Clinic, Medell\u00edn, Antioquia, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luz E","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, Cardio VID Clinic, Medell\u00edn, Antioquia, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 J","family":"Escobar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery & Mobile ECMO, Pontifical Bolivarian University, Cardio VID Clinic, Medell\u00edn, Antioquia, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan C","family":"Rend\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery & Mobile ECMO, Pontifical Bolivarian University, Cardio VID Clinic, Medell\u00edn, Antioquia, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan D","family":"Uribe","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Critical Care & Mobile ECMO, Cardio VID Clinic, Medell\u00edn, Antioquia, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,10,7]]},"reference":[{"key":"bibr1-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.15623"},{"key":"bibr2-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2020.08.015"},{"key":"bibr3-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemep.2020.100576"},{"key":"bibr4-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.7065"},{"key":"bibr5-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.15523"},{"key":"bibr6-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.016072"},{"key":"bibr7-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.09.004"},{"key":"bibr8-02676591211049769","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001357"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591211049769","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591211049769","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591211049769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:30:56Z","timestamp":1777656656000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591211049769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,7]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1177\/02676591211049769"],"URL":"https:\/\/doi.org\/10.1177\/02676591211049769","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,7]]}}}