PMC6563758_01
(a) ECG shows sinus tachycardia with lowering and inverted T wave on leads II, III, and avF. (b) Echo shows a dilated, poorly functioning left ventricle (EF 35%). (c) Echo shows a severe TR.
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F1
Electrocardiography (ECG) showed sinus tachycardia with alternation of T wave on leads II, III, and avF (Figure 1a). Echocardiography showed a depression of systolic function (EF 35%) with dilation of left ventricular end diastolic dimension (LVDd 3.7 cm) and severe tricuspid valve regurgitation (TR; Figures 1b,c).
(a) V-A ECMO via neck cannulation with a 15-Fr cannula in the right atrium and a 12-Fr cannula in the right common carotid aorta. (b) Chest X-ray post-ECMO.
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F2
A 15-Fr cannula (Medtronic or Edward's Lifesciences, Irvine, CA, USA) was placed in the right atrium and a 12-Fr cannula (Medtronic or Edward's Lifesciences, Irvine, CA, USA) was placed in the right common carotid aorta (Figure 2a). Figure 2b showed the X-ray post-ECMO.