{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T08:50:45Z","timestamp":1781859045432,"version":"3.54.5"},"reference-count":13,"publisher":"EDP Sciences","issue":"2","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Extra Corpor Technol","JECT"],"accepted":{"date-parts":[[2026,1,8]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    <jats:italic>Background<\/jats:italic>\n                    : Atrial septostomy has been successfully used in patients with pulmonary hypertension and in those supported with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) complicated by pulmonary congestion.\n                    <jats:italic>Case description<\/jats:italic>\n                    : We report a patient on VA-ECMO for decompensated pulmonary hypertension who subsequently developed stress-induced cardiomyopathy and pulmonary congestion. An atrial septostomy was performed, which led to worsening respiratory status due to the creation of a right-to-left shunt, and hemodynamic deterioration resulting from increased left ventricular preload.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    : The implications of atrial septostomy should be carefully considered prior to decompression, as there may be situations, especially if right-sided pressures are less than left-sided pressures, where patients may still benefit.\n                  <\/jats:p>","DOI":"10.1051\/ject\/2026001","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T19:47:03Z","timestamp":1768333623000},"page":"180-183","source":"Crossref","is-referenced-by-count":0,"title":["Learning from a pitfall: Atrial septostomy in LV failure under VA-ECMO for pulmonary hypertension"],"prefix":"10.1051","volume":"58","author":[{"given":"Camille","family":"Wirth","sequence":"first","affiliation":[{"name":"Cardiothoracic Intensive Care Unit; Marie Lannelongue Hospital","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"De Normandie","sequence":"additional","affiliation":[{"name":"Cardiothoracic Intensive Care Unit; Marie Lannelongue Hospital","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastien","family":"Hascoet","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Catheterism and Rythmology, Marie Lannelongue Hospital","place":["France"]},{"name":"University Paris-Saclay, Faculty of Medicine","place":["France"]},{"name":"INSERM U999, Pulmonary Hypertension: Pathophysiology and Novel Therapies, Marie Lannelongue Hospital","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie","family":"Fadel","sequence":"additional","affiliation":[{"name":"University Paris-Saclay, Faculty of Medicine","place":["France"]},{"name":"INSERM U999, Pulmonary Hypertension: Pathophysiology and Novel Therapies, Marie Lannelongue Hospital","place":["France"]},{"name":"Department of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Marie Lannelongue Hospital","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6785-5412","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Stephan","sequence":"additional","affiliation":[{"name":"Cardiothoracic Intensive Care Unit; 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