INTRODUCTION
SARS-CoV-2 mainly affects adults, many of whom require Intensive Care Unit (ICU) admission and present significant morbidity and mortality1. Most children and adolescents present the infection with mild or without symptoms, but those with medical histories can be susceptible to more severe forms of disease2. There are few reported cases of extracorporeal membrane oxygenation (ECMO) management in pediatric patients with coronavirus 2019 disease (COVID-19)3–8. We present the case of a previously healthy 13-year-old male, diagnosed with metastatic Ewing’s sarcoma at the same time as developing catastrophic acute respiratory distress syndrome (ARDS) due to COVID-19. He was successfully supported by prolonged veno venous-ECMO (VV-ECMO), while starting chemotherapy.