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A 56 year-old, formerly healthy man, who had undergone surgery of the shoulder joint earlier that same day, was presented at our department with a sudden onset of severe dyspnea and thoracic pain. Clinical fi ndings were central cyanosis, a heart rate of 120 bpm, a blood pressure of 100/70 mmHg and a decreased peripheral oxygen saturation of 89%. Prompt computed tomography revealed a massive, bilateral pulmonary embolism (Figure 1a-c).
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