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To the Editor: Surgery for fractures is a major risk factor for pulmonary embolism (PE). Massive PE (MPE) remains an important clinical challenge with a high mortality rate. The potential for sudden and fatal hemodynamic deterioration highlights the need for prompt and appropriate interventions.[1] The optimal treatment approaches for MPE are typically restricted to patients who are critically ill. Some case reports have demonstrated the use of extracorporeal membrane oxygenation (ECMO) as a potentially lifesaving therapeutic option that could provide clinical stability to allow definitive treatment. Here, we reported the successful use of ECMO alone without definitive therapy in a 52‐year‐old man who developed an MPE after surgery for tibiofibular fractures and presented with hemodynamic instability and severe hypoxemia. Because of the patient’s unstable hemodynamic status and the high risk of bleeding, thrombolysis and embolectomy were not administered. ECMO alone was successfully used as salvage therapy for the MPE, and the patient experienced a good recovery.

Extracorporeal Membrane Oxygenation as Salvage Therapy for Acute Massive Pulmonary Embolism after Surgery for Tibiofibular Fractures