Abstract
Veno-Arterial Extra-Corporeal Membrane Oxygenation (VA-ECMO) in adults has grown over the last decades as a life-saving procedure. Trans-thoracic (TTE) and trans-esophageal (TEE) echocardiography are recommended tool to manage such cases.
Highlights
Veno-Arterial Extra-Corporeal Membrane Oxygenation (VA-ECMO) in adults has grown over the last decades as a life-saving procedure
In VA-ECMO the suction cannula is generally inserted into a femoral vein and it is advanced just beyond the caval-atrial junction (Figure 1)
Harlequin Syndrome (HS) consists of two differently oxygenated portions of the body: the upper portion hypoxic due to the poorly oxygenated blood arriving from the left ventricle (LV) and the lower well oxygenated one perfused by the blood coming from the ECMO oxygenator and pumped into the aorta
Summary
Veno-Arterial Extra-Corporeal Membrane Oxygenation (VA-ECMO) in adults has grown over the last decades as a life-saving procedure. Trans-Thoracic Echocardiography during VA-ECMO: May the Supra-Sternal Notch View Detect a Too-Proximally Watershed Area? *Corresponding author: Enrico Giustiniano, Department of Anesthesia and Intensive Care Units, Humanitas Clinical and Research Center, IRCCS, via Manzoni 56-20089, Rozzano, Milan, Italy, Tel: +39-02-8224-7459, Fax: +39-02-8224-4190
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