A 25-year-old woman with severe tricuspid valve endocarditis and septic pulmonary emboli required VA-ECMO for recurrent hypoxemia-induced cardiac arrest. We present the clinical challenges requiring ECMO circuit reconfiguration and a percutaneous approach for vegetation debulking.

JACC Editor-in-Chief
Julia Grapsa, MD, PhD, FACC

CME Editor
Nadeen N. Faza, MD, FACC

Authors
Emily K. Zern, MD
Kenneth Shelton, MD

Important Dates

Date of Release: September 1, 2021
Term of Approval/Date of CME/MOC/ECME Expiration: August 31, 2022