INTRODUCTION
The use of extracorporeal life support (ECLS) as a bridge to lung
transplantation has increased over the last decade, however its use in
re-do lung transplantation is limited due to poor
outcomes1,2. Extracorporeal circulation with a single
duo-lumen cannula provides the advantage of more comfortable
mobilization particularly in patients in which we expect a longer bridge
to transplant. The Hemolung Respiratory Assisted System (HRAS) (ALung
Technologies, Pittsburgh PA) is a venous-venous extracorporeal carbon
dioxide removal (ECCO2R) system that allows for
effective removal of carbon dioxide via a small French double lumen
catheter2,3.
In this report the decision to bridge our patient with an HRAS was based
on primary hypercapnic respiratory failure and anatomical limitations
due to her complete situs inversus.