Figure 3.

This patient had no identifiable uterine artery vascular supply to a large uterine fibroid. Aortogram and subsequent selective ovarian artery catheterization demonstrated that the ovarian arteries bilaterally provided the arterial supply for the fibroid. The markedly tortuous course of the ovarian arteries precluded the ability to perform an embolization procedure due to the need to pass a microcatheter beyond the ovarian branch. (A) Selective right ovarian artery angiogram demonstrates a hypervascular enhancing uterine fibroid mass. (B) Selective left ovarian artery angiogram also demonstrates arterial contribution to the fibroid.