Ambulatory femoral venovenous extracorporeal membrane oxygenation with a dual-lumen cannula.

Abstract

A 27-year-old woman with end-stage lung disease secondary to mixed connective tissue disorder and history of prolonged venovenous (VV) extracorporeal membrane oxygenation (ECMO) in 2015 presented to our institution. Notably, this was complicated by right internal jugular vein and superior vena cava thrombosis. Over the past 6 months, she had progressive decline of her pulmonary function with increased oxygen requirements and was listed for bilateral lung transplant. The operation was performed successfully; however, significant lung edema was noticed requiring partial chest closure with a negative pressure dressing.