Rescuing patients with the development of acute respiratory distress syndrome and right heart failure after left ventricular assist device placement remains a challenge in patients with congenital heart disease. TandemLife Protek Duo (TandemLife, Pittsburg, PA) is a double-lumen cannula introduced via the internal jugular vein that can provide veno-venous extra-corporeal membrane oxygenation and right heart support. To our knowledge, we report the first case of successfully using the TandemLife Protek Duo cannula to provide veno-venous extra-corporeal membrane oxygenation and right ventricle support in an adolescent male with an existing right ventricle-pulmonary artery conduit and the melody pulmonary valve who developed severe acute respiratory distress syndrome after the placement of left ventricular assist device. The stability of the cannula enabled minimal recirculation-related hypoxia events, early mobilization, and ambulation. Our patient was discharged home after lung recovery and currently awaiting a heart transplant.

在放置左心室辅助装置后抢救出现急性呼吸窘迫综合征和右心衰竭的患者对于先天性心脏病患者来说仍然是一个挑战。TandemLife Protek Duo (TandemLife, Pittsburg, PA) 是一种通过颈内静脉引入的双腔插管，可提供静脉-静脉体外膜氧合和右心支持。据我们所知，我们报告了首例成功使用 TandemLife Protek Duo 插管为具有现有右心室-肺动脉导管和 melody 肺动脉瓣的青少年男性提供静脉-静脉体外膜肺氧合和右心室支持的案例。放置左心室辅助装置后出现严重急性呼吸窘迫综合征。插管的稳定性使与再循环相关的缺氧事件、早期活动和行走成为可能。我们的病人在肺部恢复后出院回家，目前正在等待心脏移植。