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Updated: Jan 24, 2026

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Preemptive ECMO Cannulation in a Patient with Severe Left Ventricular Systolic Dysfunction Undergoing Cesarean
Phuong Bui1, P Gabriel Mascaro2, Juanita Henao-Mejia3
1Brigham and Women's Hospital, Department of Anesthesiology and Perioperative and Pain Medicine, 75 Francis Street, Boston, MA 02115, USA.
Abstract:
Obstetric patients with heart failure undergoing cesarean delivery are high risk and the perioperative care of these patients poses significant multidisciplinary challenges. In contrast to the nonobstetric patient population the potential role of mechanical circulatory support in parturients with heart failure is not well established and the use of extracorporeal membrane oxygenation (ECMO) has rarely been reported. We report the case of a super morbidly obese patient with decompensated heart failure, pulmonary hypertension, and superimposed preeclampsia undergoing preemptive ECMO cannulation for urgent cesarean delivery.
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