Cardiopulmonary bypass and extracorporeal membrane oxygenation are
commonly used adjuncts to lung transplantation. These techniques are not
without associated morbidity and mortality, and the surgeon must be
aware of the possibility of aberrant anatomy that could lead to vascular
injury during cannulation. In this report, we describe a patient with
congenital absence of the inferior vena cava undergoing lung
transplantation who required perioperative cardiopulmonary support. A
percutaneous dual lumen cannula, Protek Duo, was connected in an
Oxy-RVAD configuration to provide right ventricular and oxygenation
support both intraoperatively and postoperatively to this patient.