Implantation of left ventricular support under extracorporeal membrane oxygenation

Continuous-flow left ventricular assist devices (LVADs) are used to manage patients with end-stage heart failure. Protection of right ventricular (RV) function is important during LVAD implantation, but sometimes patients require temporary RV support. We describe the technique of LVAD implantation under extracorporeal membrane oxygenation (ECMO) we use in our center. This technique allows soft loading of the right ventricle once LVAD is started and even short-term RV support if required.