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Updated: Aug 25, 2025

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
Peripheral VA-ECMO left ventricular dysfunction: A combined biventricular assistance two case-report
P González-Pizarro1, A Álvarez Bartolomé2, J García Fernández3
1Servicio de Anestesiología, Cuidados Críticos y Dolor, Hospital Universitario La Paz, Madrid, Spain.
Abstract:
We report 2 patients with cardiogenic shock that developed severe left ventricular dysfunction due to a non-opening aortic valve while on peripheral VA-ECMO (Veno-Arterial Extracorporeal Membrane Oxygenator). Patients were managed combining a LV (Left Ventricle) mechanical assist device, and central VA - ECMO to support the right ventricle, thus providing full circulatory and respiratory assistance. Patients were able to bridge to cardiac transplantation. We therefore recommend such combination in patients with severe LV dysfunction while on p-ECMO (peripheral ECMO) support.
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