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While most commonly due to continued impaired gas exchange in the lungs, we present a case caused by right ventricular dysfunction, successfully managed by conversion of the ECMO circuit to a veno-veno-arterial (VV-A) configuration.<\/jats:p>","DOI":"10.1177\/02676591211020895","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T04:10:37Z","timestamp":1622434237000},"page":"526-529","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Managing Harlequin Syndrome in VA-ECMO \u2013 do not forget the right ventricle"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7837-5625","authenticated-orcid":false,"given":"James","family":"Wilson","sequence":"first","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisca","family":"Caetano","sequence":"additional","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem","family":"Soliman-Aboumarie","sequence":"additional","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brijesh","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephane","family":"Ledot","sequence":"additional","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Price","sequence":"additional","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Vandenbriele","sequence":"additional","affiliation":[{"name":"Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK"},{"name":"Division of Cardiovascular Sciences, University Hospitals Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,31]]},"reference":[{"key":"bibr1-02676591211020895","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.118.004905"},{"key":"bibr2-02676591211020895","doi-asserted-by":"publisher","DOI":"10.1177\/0267659119830513"},{"key":"bibr3-02676591211020895","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-015-0941-1"},{"key":"bibr4-02676591211020895","doi-asserted-by":"publisher","DOI":"10.1177\/0267659120908409"},{"key":"bibr5-02676591211020895","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivx259"},{"key":"bibr6-02676591211020895","doi-asserted-by":"publisher","DOI":"10.1177\/0885066619900503"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591211020895","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591211020895","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591211020895","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:30:30Z","timestamp":1777656630000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591211020895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,31]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1177\/02676591211020895"],"URL":"https:\/\/doi.org\/10.1177\/02676591211020895","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,31]]}}}