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Heart Transplantation After Successful Donor Postpartum Pulmonary Embolectomy*

Ivan Aleksic, MD; Mersa M. Baryalei, MD; Bernd Schorn, MD, PhD; Thomas Busch, MD; Justus Strauch, MD; Andreas Weyland, MD, PhD; Harald Dalichau, MD, PhD
Author and Funding Information

*From the Department of Thoracic and Cardiovascular Surgery (Drs. Aleksic, Baryalei, Schorn, Busch, Strauch, and Dalichau) and the Department of Anesthesiology (Dr. Weyland), Georg-August-University, Göttingen, Germany.

Correspondence to: Ivan Aleksic, MD, Klinik für Thorax-, Herz und Gefäβchirurgie, Georg-August-Universität Göttingen, Robert-Koch-Strasse 40, 37075 Göttingen, Germany; e-mail: ialeksi@gwdg.de



Chest. 1999;115(4):1202-1203. doi:10.1378/chest.115.4.1202
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A 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.


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