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We present an instance of someone on venovenous ECMO just who created ML failure after 7 days as a result of moderate to severe hypertriglyceridemia (700-800 mg/dL). ML failure ended up being exhibited by impaired gas change and large transmembrane pressures, and there is significant lipemic layering into the circuit immediately after decannulation. This case demonstrates that as well as patients with severe lipemia, ML failure can also happen in clien