OBJECTIVE : Right-sided heart failure develops in lung transplantation candidates on prolonged peripheral extracorporeal membrane oxygenation support and is a major determinant of mortality. The use of central venoarterial extracorporeal membrane oxygenation for bridging of right-sided heart failure to lung transplantation was evaluated. METHODS : Retrospective case series and literature review. METHODS : A single tertiary care university hospital. METHODS : The study comprised lung transplantation candidates on extracorporeal membrane oxygenation bridging who developed right-sided heart failure. METHODS : Central venoarterial extracorporeal membrane oxygenation. RESULTS : Of 6 patients who underwent the study protocol, 3 were bridged successfully to lung transplantation and 1 was bridged to recovery. CONCLUSIONS : The study demonstrates that central extracorporeal membrane oxygenation may be a feasible option for bridging of right-sided heart failure to lung transplantation.