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. 2020 Jun 19;9(6):1927. doi: 10.3390/jcm9061927

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© 2020 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

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20-year-old female, who is 6 months pregnant presents with mild dyspnea. (a) Chest CT performed to rule out pulmonary embolism reveals complex PAVM with 3 mm feeding artery (orange arrow). (b) Initial pulmonary angiogram confirms PAVM in the right middle lobe (green arrow). (c) Angiogram shows selection of the supplying artery with a catheter. (d) Microcatheter placement into PAVM nidus. (e) Final angiogram shows complete occlusion of PAVM following embolization with 11 microcoils and 1 microvascular plug. Estimated fetal radiation dose was <5 mGy, scatter only with no direct irradiation. Remainder of pregnancy was uneventful and the patient delivered a healthy baby girl at 39 weeks gestational age.