A 49-year-old morbidly obese female was transferred to our hospital from an outside
facility after presentation with hypotension and massive pulmonary embolism following
a podiatric procedure. Emergency extracorporeal membrane oxygenation (ECMO) support
was instituted by the referring hospital prior to transfer. Details of cannulation
included the need to construct a “chimney” graft (8 mm Hemashield, Maquet, Rastatt,
Germany) specifically to address the issue of an extremely small (<5 mm diameter)
right common femoral artery. Direct right femoral vein cannulation was performed through
the same incision, in standard fashion, utilising a 24 French cannula (Edwards Lifesciences,
Irvine, CA, USA).
Keywords
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Article info
Publication history
Published online: December 03, 2022
Accepted:
October 28,
2022
Received:
October 16,
2022
Identification
Copyright
© 2022 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
