PMC7201439_01
(a) Chest X-ray on admission. (b) Chest X-ray after ECMO cannulation via neck vessels. (c) Chest X-ray after conversion to veno-venous ECMO by using single venous neck cannula. (d) Chest X-ray after ECMO weaning.
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fig1
His acute respiratory distress syndrome necessitated high-pressure ventilation (Figure 1(a)). ECMO was initiated via neck vessel cannulation, and immediate improvement in oxygenation was achieved (Figure 1(b)). ECMO flow was stable between 1.2 - 1.7 L/min during the whole support period. Avalon ELITE cannula (MAQUET Cardiopulmonary AG, Germany) (Figure 1(c)). After seven days of VV ECMO support, the patient was successfully weaned on day 25 (Figure 1(d)).
Chest X-ray after extubation.
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fig2
Despite severe neurological impairment, his respiratory condition improved further, and 2 days later (day 30), he was extubated (Figure 2).