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Antenatal diagnosis and postnatal treatment of intrapulmonary arteriovenous malformation
  1. Damien P Kenny,
  2. Beverly Tsai-Goodman,
  3. Robin P Martin,
  4. Robert M Tulloh
  1. Department of Congenital Heart Disease, Bristol Royal Hospital for Children
    Bristol, UK
  1. Robert M Tulloh, Department of Congenital Heart Disease, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ, UK; Robert.Tulloh{at}ubht.swest.nhs.uk

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Figure 1 (A) Fetal echocardiogram demonstrating long axis view of the fetal heart. There is a prominent vessel draining into the left atrium (LA) consistent with a right pulmonary vein (RPV). There is a further prominent vessel seen anterosuperiorly originating from main pulmonary artery consistent with a branch of the right pulmonary artery (RPA). (B) Selective angiography of right pulmonary artery (RPA) shown on lateral fluoroscopy demonstrating a large feeding vessel (FV) with an early bifurcation and a larger more superior feeding vessel that divides more distally in the anterior segment of the lung. (C) Angiography post coil occlusion demonstrating full occlusion of the two feeding vessels with multiple coils used in the larger more superior vessel.

A baby boy was suspected of having right-sided intrapulmonary arteriovenous malformation on fetal echocardiography at 37 weeks’ gestation. This showed two prominent vessels (fig 1A), the first consistent with a right-sided pulmonary artery with flow of blood away from the right heart towards …

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