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We present a case of a 12\u2010year\u2010old female undergoing distal femoral and proximal tibial osteotomies with internal fixations who experienced acute onset hypercapnia, tachycardia, and prolonged minimal responsiveness following deflation of the tourniquet and cessation of inhaled sevoflurane. CT\u2010chest demonstrated bilateral partially occlusive filling defects of the pulmonary vasculature. 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