Fractures of extracorporeal membrane oxygenation (ECMO) cannulas are exceedingly rare due to their woven metal reinforcement. There are only a few cases reported in the literature.¹ We present a 27-year-old man with COVID-19 who was on VV-ECMO as a bridge to lung transplantation with a fractured ECMO cannula. On ECMO day 136, it was noticed on routine chest radiography that his single site, dual lumen right atrial-pulmonary artery cannula (ProtekDuo Cannula by LivaNova, London, United Kingdom) was fractured (Figure 1).² There was no change in oxygenation, ECMO flow (3.75–4.25 L/min), requirements of any inotropy/pressor, or right ventricular dysfunction on transthoracic echocardiogram. Fractures in ECMO cannulas can be found in different locations, including where the cannula bends in the right ventricle as seen in our patient.¹ We found no sentinel event that may have resulted in a cannula fracture; however, the device manufacturer (LivaNova) for the ProtekDuo has warned about the prolonged use of it, defined as longer than 30 days.³ Due to the patient’s hemodynamic stability and normal right ventricular function and size, it was decided to monitor the cannula although its ability as a right atrial-pulmonary artery device (i.e., right ventricular support) had been compromised. Our patient had no new symptoms and was able to continue to participate in daily ambulation. He underwent lung transplantation 28 days after the cannula fracture was noted (total of 164 days on ECMO), with ECMO decannulation during the operation. He was discharged home 4 weeks later. With increasing utilization and duration of ECMO support as a bridge to organ transplantation, monitoring of component integrity is essential, especially when troubleshooting circuits.^4,5