PP06 – ECMO with cannulation of femoral vein and pulmonary artery in a patient after heart transplantation and unknown refractory hypoxemia

Venovenous ECMO is a well established treatment option for patients with severe ARDS. There is evidence that its use might improve mortality among these complex patients. Nevertheless, certain clinical shortcomings might limit its use in individual patients, especially after heart transplantation: patients at high risk for right ventricular failure might benefit from an alternative cannulation strategy with the venous outlet cannula placed in the right atrium and the inlet cannula directly in the pulmonary artery.