Chou NK et al. – The authors used extracorporeal membrane oxygenation (ECMO) as a rescue procedure for acute hemodynamic deterioration. However, during ECMO support, left ventricular afterload increased. If prolonged support is required, Thoratec pneumatic ventricular assist device (TpVAD) might be required: 15 of patients supported by ECMO with TpVAD needed to a wait a suitable donor. The authors recommend the application of ECMO for short–term support, and TpVAD as a bridge for medium– or long–term support.