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Traditional massage is one of the art of the Thai people, but its application in an inappropriate situation or with incorrect technique may contribute to severe complications. we report a 46-year-old man who was massaged by his nephew in oreder to relieve an aching right leg. Unfortunately, he developed a deep venous thrombosis with subsequent acute pulmonary embolism. Emergency embolectomy was performed because the thrombus engaged into the left heart through the foramen ovale.