Abstract

We report the case of a 20-year-old-male with an aggressive thrombophilia who presented with submassive pulmonary embolism requiring veno-venous extracorporeal membrane oxygenation (ECMO) for 12 days. The patient required recannulation for hypoxia in setting of pneumonia and computed tomography imaging demonstrated dense consolidation of right lower lobe and adjacent collapse of right middle lobe. The patient was unable to be weaned from ECMO secondary to shunting from the ineffective lung. Right lower lobectomy and wedge resection of middle lobe was performed successfully to assist in weaning from ECMO.

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