A special cause of acute coronary syndrome in patients supported with VA ECMO

Shek-Yin Au, Ka-Man Fong, Henry Jeffrey Yuen, Ka-Chung Jack Shek, Wing-Yiu George Ng


A transesophageal echocardiography was performed for a patient supported with peripheral veno-arterial extracorporeal membrane oxygenation (VA ECMO) for his acute decompensated heart failure. One of the main aims of echocardiography was to assess whether the aortic valve could open despite increased afterload from the retrograde ECMO flow.