Abstract
A 73-year-old man underwent veno-arterial extracorporeal membrane oxygenation (ECMO) due to respiratory and cardiac arrest (Fig. 1 ). The following day, changing to veno–veno ECMO was considered because the cardiac function recovered. The right femoral vein puncture was uneventful. However, immediately after the guide wire was removed, the ECMO flow abruptly stopped (Fig. 2 ).

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