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Dual-outflow extracorporeal membrane oxygenation support in secondary right ventricular failure
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  • Florian Hecker,
  • Harald Keller,
  • Ina Ischewski,
  • Mariuca Vasa-Nicotera,
  • Sonja Iken,
  • Tomas Holubec
Florian Hecker
Hospital of the Goethe University Frankfurt

Corresponding Author:florianhecker@gmx.de

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Harald Keller
Hospital of the Goethe University Frankfurt
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Ina Ischewski
Hospital of the Goethe University Frankfurt
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Mariuca Vasa-Nicotera
Hospital of the Goethe University Frankfurt
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Sonja Iken
Hospital of the Goethe University Frankfurt
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Tomas Holubec
Hospital of the Goethe University Frankfurt
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Abstract

Acute-on-chronic right ventricular failure has a tremendously high mortality rate and pulmonary artery hypertension plays a major role in the progression of secondary right ventricular failure. Here, we report a case of drug-refractory acute-on-chronic right ventricular failure due to primary artery hypertension and a two-step approach of a percutaneous dual-outflow extracorporeal membrane oxygenation support set-up implanted under on-going mechanical resuscitation for immediate biventricular support with a consequent downgrade to right ventricular assist device after left ventricular recompensation.