fulminant pulmonary embolism can be treated surgically if thrombolytic
therapy is contraindicated. A 31-year-old woman developed a fulminant
pulmonary embolism after right-sided deep venous thrombosis 1 day after
undergoing a cesarean section. A pulmonary embolectomy with
cardiopulmonary bypass was performed, but the patient was brain-dead.
After 2 days of echocardiographic observation, her heart was explanted
for a 61-year-old man with ischemic cardiomyopathy. His right heart
data were unremarkable, and he remains well 16 months after
transplantation. Despite the sudden strain on the right ventricle that
occurs with a pulmonary embolism, such a heart may be transplanted
successfully after a pulmonary embolectomy.