Document Detail

A brain dead woman, giving birth in the 23rd week of pregnancy, used as an organ donor: a case report.
MedLine Citation:
PMID:  22466916     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Maternal brain death during pregnancy is an exceptional case when somatic support might be continued despite diagnosed death. There are only a few cases of maternal brain death during pregnancy reported in the literature and detailed data regarding the frequency of such cases are lacking.
CASE REPORT: The case of a 40-year-old woman, diagnosed brain dead due to a subarachnoid and intracranial hemorrhage in the 21st week of pregnancy is presented. The patient was admitted to the neurosurgery department and then to the intensive care unit, where brain death was diagnosed. The medical team decided to perform a caesarean section, and a living female infant was delivered. After delivery, maternal kidneys were recovered and successfully transplanted.
CONCLUSIONS: This challenging case indicates that prompt diagnosis of maternal brain death is required to facilitate decision-making regarding somatic support prolongation to save the life of the fetus, as well as to allow procurement of the maternal organs.
Aleksandra Woderska; Milosz Jasinski; Dorota Arszynska-Lopatka; Maciej Slupski; Tatiana Janiszewska; Zbigniew Wlodarczyk
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of transplantation : quarterly of the Polish Transplantation Society     Volume:  17     ISSN:  2329-0358     ISO Abbreviation:  Ann. Transplant.     Publication Date:    2012 Jan-Mar
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-08-02     Revised Date:  2013-06-17    
Medline Journal Info:
Nlm Unique ID:  9802544     Medline TA:  Ann Transplant     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  113-6     Citation Subset:  IM    
Department of Transplantation and General Surgery, Collegium Medicum Nicolaus Copernicus University, Bydgoszcz, Poland.
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MeSH Terms
Brain Death*
Cesarean Section
Infant, Newborn
Intracranial Hemorrhages / complications*,  surgery
Kidney Transplantation
Pregnancy Complications, Cardiovascular / surgery
Tissue Donors*
Tissue and Organ Procurement

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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