{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:30:39Z","timestamp":1762918239507,"version":"build-2065373602"},"reference-count":15,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2021,7,17]],"date-time":"2021-07-17T00:00:00Z","timestamp":1626480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Membranes"],"abstract":"<jats:p>A 40-year-old pregnant woman at 28 weeks of gestation was diagnosed with severe acute respiratory failure syndrome (ARDS) due to coronavirus disease 2019 (COVID-19). She had severe hypoxemia despite the use of mechanical ventilation and muscle relaxant infusion. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) was used, and she had a cesarian section while on ECMO support. She developed disseminated intravascular coagulation (DIC) with overt bleeding. This was managed by a multidisciplinary team (MDT) and a change of the ECMO circuit resulted in a dramatic improvement of her coagulation profile. Both the mother and the baby were discharged and went home in good condition.<\/jats:p>","DOI":"10.3390\/membranes11070544","type":"journal-article","created":{"date-parts":[[2021,7,18]],"date-time":"2021-07-18T21:16:48Z","timestamp":1626643008000},"page":"544","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["COVID-19-Related Acute Respiratory Distress Syndrome in a Pregnant Woman Supported on ECMO: The Juxtaposition of Bleeding in a Hypercoagulable State"],"prefix":"10.3390","volume":"11","author":[{"given":"Mohsen","family":"Khalil","sequence":"first","affiliation":[{"name":"King Faisal Specialist Hospital & Research Centre, Riyadh 11211, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abid","family":"Butt","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Centre, Riyadh 11211, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiad","family":"Kseibi","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Centre, Riyadh 11211, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyad","family":"Althenayan","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Centre, Riyadh 11211, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manal","family":"Alhazza","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Centre, Riyadh 11211, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hend","family":"Sallam","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Centre, Riyadh 11211, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e016072","DOI":"10.1161\/JAHA.119.016072","article-title":"Extracorporeal Life Support in Pregnancy: A Systematic Review","volume":"9","author":"Naoum","year":"2020","journal-title":"J. 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Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.1111\/trf.12418","article-title":"Simultaneous extracorporeal membrane oxygenation and therapeutic plasma exchange procedures are tolerable in both pediatric and adult patients","volume":"54","author":"Dyer","year":"2014","journal-title":"Transfusion"},{"doi-asserted-by":"crossref","unstructured":"Rushakoff, J.A., Polyak, A., Caron, J., Parrinella, K., Salabat, R., Wong, M., and Emerson, D. (2021). A case of a pregnant patient with COVID-19 infection treated with emergency c-section and extracorporeal membrane oxygenation. J. Card. Surg.","key":"ref_11","DOI":"10.1111\/jocs.15623"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e151","DOI":"10.1016\/j.athoracsur.2020.09.004","article-title":"Survival of Pregnant Coronavirus Patient on Extracorporeal Membrane Oxygenation","volume":"111","author":"Larson","year":"2021","journal-title":"Ann. Thorac. 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Anesth."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1097\/MAT.0000000000001357","article-title":"Successful Treatment of Pregnant and Postpartum Women With Severe COVID-19 Associated Acute Respiratory Distress Syndrome With Extracorporeal Membrane Oxygenation","volume":"67","author":"Barrantes","year":"2021","journal-title":"ASAIO J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1177\/0267659118824218","article-title":"Extracorporeal membrane oxygenation-induced fibrinolysis detected by rotational thromboelastometry and treated by oxygenator exchange","volume":"34","author":"Durila","year":"2019","journal-title":"Perfusion"}],"container-title":["Membranes"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0375\/11\/7\/544\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:31:11Z","timestamp":1760164271000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0375\/11\/7\/544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,17]]},"references-count":15,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7]]}},"alternative-id":["membranes11070544"],"URL":"https:\/\/doi.org\/10.3390\/membranes11070544","relation":{},"ISSN":["2077-0375"],"issn-type":[{"type":"electronic","value":"2077-0375"}],"subject":[],"published":{"date-parts":[[2021,7,17]]}}}