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We report a rare case about chorea in a Chinese adult after pulmonary thromboendarterectomy (PTE) with deep hypothermia and circulatory arrest.A 41-year-old male was admitted to our hospital because of breathing difficulties for about three years and intermittent hemoptysis for about two months.Physical examination revealed mild cyanotic lips,lower extremity edema.He was classified as grade III heart failure according the classification system of the New York Heart Association (NYHA).