Successful Use of Pre and Post-operative ECMO for Pulmonary Endarterectomy, Mitral Valve Replacement and Myomectomy in a Patient with Chronic Thromboembolic Pulmonary Hypertension and Hypertrophic Cardiomyopathy

As a salvage strategy, extracorporeal membrane oxygenation (ECMO) permits the recovery of end-organ perfusion, whilst allowing the surgeon time for patient reassessment and surgical planning. We report upon the first known case in which VA ECMO was instituted as peri-operative supportive therapy for a young patient, in-extremis, with surgically correctable Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Hypertrophic Cardiomyopathy (HOCM).