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Recovery of both right and left ventricular function allowed explanation of VA-ECMO on day 4 and further hemodynamic improvement allowed removal of the Impella® device on day 9. The patient was discharged after 7weeks with fully restored cardiac function and in a good neurological state. In severe cardiac shock due to fulminant EM the ECMELLA concept as bridge-to-recovery seems to be a valid option to provide the required time for diagnostics and specific therapy. In severe cardiac shock due to fulminant EM the ECMELLA concept as bridge-
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