Paediatric cardiorespiratory failure successfully managed wi
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Femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) is an important tool for supporting cardiac function in patients with severe cardiac failure because of its rapid vascular access.Decreased oxygenation for the coronary and right upper body circulation is one of the major disadvantages of femoral VA ECMO. This condition is particularly obvious in patients with improvement in left ventricular dysfunction and deterioration in pulmonary function. This in turn, leads to deterioration in ventricular function when continuing VA ECMO. Moreover, accurate evaluation of cardiac function in patients supported by VA ECMO is sometimes difficult.These factors negatively affect successful weaning from VA ECMO.A VA-venous (VAV) ECMO configuration is a combined procedure in which ECMO enables oxygenated blood flow to the arterial and venous circulations where the proportion of flow can be easily controlled. In this report, we present a paediatric patient with severe cardiorespiratory failure related to myocarditis who was managed with VAV ECMO when transitioning from VA to VV ECMO...

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