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Peripheral femoral venoarterial extracorporeal membrane oxygenation as bridge to heart-lung transplant
  • +2
  • Erik Orozco-Hernandez,
  • Brett Melnikoff,
  • Megan Lusby,
  • Jose Tallaj,
  • Charles Hoopes
Erik Orozco-Hernandez
The University of Alabama at Birmingham Hospital
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Brett Melnikoff
The University of Alabama at Birmingham Hospital
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Megan Lusby
The University of Alabama at Birmingham Hospital
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Jose Tallaj
The University of Alabama at Birmingham Hospital
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Charles Hoopes
The University of Alabama at Birmingham Hospital
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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 (ILD) and severe secondary pulmonary hypertension, who was successfully bridged to HLT with ambulatory femoral VA-ECMO.

Peer review status:ACCEPTED

30 Apr 2020Submitted to Journal of Cardiac Surgery
08 May 2020Submission Checks Completed
08 May 2020Assigned to Editor
08 May 2020Reviewer(s) Assigned
18 May 2020Review(s) Completed, Editorial Evaluation Pending
18 May 2020Editorial Decision: Revise Major
29 May 20201st Revision Received
06 Jun 2020Submission Checks Completed
06 Jun 2020Assigned to Editor
06 Jun 2020Reviewer(s) Assigned
06 Jun 2020Review(s) Completed, Editorial Evaluation Pending
06 Jun 2020Editorial Decision: Accept