Melissa is a 29yo female with a history of severe uterine fibroids who has been having continuous bleeding and pain currently being treated with Lupron hormonal therapy, and she is on oral contraceptives. She presented to the local ED with a 3-week history of RLE edema and new onset today of SOB. A Chest CT was obtained suggesting a saddle pulmonary embolus. She was started on Lovenox, had a IVC filter placed, and was transferred to your institution. On arrival she is hemodynamically stable, but having continued bleeding and pain. She was started on a heparin infusion. In developing her management plan and possible emergency hysterectomy, the pulmonary intensivists, gynecologists, and anesthesiologists are requesting your input regarding the role of ECMO support and possible pulmonary embolectomy for Melissa.