Introduction
Extracorporeal membrane oxygenation (ECMO) has revolutionized the treatment of severe cardiac and respiratory failure. The use of ECMO as bridge to transplantation (BTT) is increasing (1), and heart transplantation today remains as the gold standard for end-stage heart failure refractory to medical treatment. Although the number of patients with ECMO as BTT is small, it may increase with the changes to the heart allocation system (2). Left ventricular (LV) venting strategies to avoid events related to LV distention are an essential component of peripheral veno-arterial ECMO. We present a case of femoral ECMO as BTT using the Bio-medicus NextGen cannula (Medtronic) for simultaneous drainage and LV venting.