Figure 1

A 52-year-old female patient with a left rami fracture and diastasis of the left SI joint after a traffic accident underwent general anaesthesia for pelvic ring stabilization (a). After general anaesthesia, the patient rapidly developed hypoxia and tachycardia and the operation was not performed. Only external fixation was performed (b). CT angiography was performed to confirm total occlusion of the left pulmonary artery and right segmental thrombus (red arrow) (c). Thrombectomy was immediately performed (d).