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Emerging Trends in Anesthesia for Lung Transplantation

vasodilators, but severe cases often require VV ECMO (Anesthesiology 2022;136:48299). Additionally, a technique that is particular to primary pulmonary hypertension as the presenting ESLD includes prolongation of VA ECMO to allow for biventricular remodeling in the immediate post-implantation period. Thus, a patient may be bridged to transplantation with ambulatory VV ECMO before surgery, undergo VV or VA ECMO intraoperatively, and transition back to VV or VA ECMO during the postoperative period.