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a ECMO Department, Karolinska University Hospital, Stockholm, Sweden
b Department of Pediatric Surgery, Karolinska University Hospital, Stockholm, Sweden
c Department of Cardiothoracic Surgery, Sahlgrens University Hospital, Gothenburg, Sweden
Accepted for publication March 26, 2008.
* Address correspondence to Dr Broomé, ECMO Department, Karolinska University Hospital, Stockholm, 171 76, Sweden (Email: michael.broome{at}karolinska.se).
A 38-year-old man with progressive alveolitis secondary to polymyositis was treated for 52 days with venovenous and venoarterial extracorporeal membrane oxygenation as a bridge to bilateral lung transplantation. The patient survived, despite multiple complications, and is now back home with good pulmonary function. He is working part-time nearly 3 years post-transplant. This case shows that long-term extracorporeal lung assist is a viable but demanding alternative for bridging patients to pulmonary transplantation. This case also shows that right ventricular failure necessating conversion to veno-arterial assist does not necessarily predict right ventricular failure post-transplant.
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