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).
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Published online: December 03, 2022
Accepted: October 28, 2022
Received: October 16, 2022
© 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.