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Case Reports
. 2020 Aug;35(8):2077-2080.
doi: 10.1111/jocs.14779. Epub 2020 Jul 11.

Peripheral femoral venoarterial extracorporeal membrane oxygenation as bridge to heart-lung transplant omne iter incipit primus

Erik J Orozco-Hernandez  1 , Brett Melnikoff  1 , Megan Lusby  2 , Jose Tallaj  3 , Charles W Hoopes  1
Affiliations
Case Reports

Peripheral femoral venoarterial extracorporeal membrane oxygenation as bridge to heart-lung transplant omne iter incipit primus

Erik J Orozco-Hernandez et al. J Card Surg. 2020 Aug.

Abstract

Heart-lung transplant (HLT) is a widely accepted modality for certain patients with advanced and refractory cardiopulmonary disease. Some of these patients are critically ill on the transplant waiting list, and venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be used as a bridge to transplantation. Although the experience with ECMO as a bridge to lung transplant is promising, there is limited evidence to use ECMO as a bridge to HLT. Femoral cannulation remains a concern for ambulation given the risk of bleeding and cannula complications despite studies reporting its safety. We present a case of a 56-year-old male with interstitial lung disease and severe secondary pulmonary hypertension, who was successfully bridged to HLT with ambulatory femoral VA-ECMO.

Keywords: ECMO; heart-lung transplant; transplant.

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References

REFERENCES

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