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The H1N1-flu affected primary young and female patients without major comorbidities (1-3). Although most of the confirmed cases have been self-limited and uncomplicated febrile respiratory illness, there have been severe infection with complications or mortality as well. In some cases, extracorporeal membrane oxygenation (ECMO) was commenced for the treatment of refractory hypoxemia, hypercapnia, or both, which occurred despite mechanical ventilation and rescue conventional therapies (4). Here, we report the first case of atypical clinical presentation of H1N1-infection that was successfully treated with extracorporeal membrane oxygenation (ECMO) in Florence. The study protocol was approved by the Ethic committee of the institution. The patient parents read and signed the disclosure information form. Case Report

Emergent ECLS for life-threatening severe cardiac dysfunction as presentation of H1N1-flu