case_images: PMC5360967_01
case_images: Chest wall echocardiography using agitated saline particles in patient 1 showing echocardiographic still image depicting all four chambers before instillation of agitated saline (a), agitated saline filling the right side of the heart (b), and the left side after a few heart beats (c, d).
case_images: CRIPE2017-2841720.001.jpg
case_images: PMC5360967_01_CRIPE2017-2841720.001.jpg
case_images: fig1
case_images: Since his low oxygen saturations were out of proportion to the lung disease on CXR, an agitated saline injection with echocardiography of the left heart structures was performed showing delayed (>3 cardiac cycles) entry of particles into the left atrium from the pulmonary veins (Figure 1).
case_images: Cardiac catheterization showing the large pulmonary AVM in right lower lobe in patient 1; baseline angiography (a) and after transcatheter occlusion (b).
case_images: CRIPE2017-2841720.002.jpg
case_images: PMC5360967_01_CRIPE2017-2841720.002.jpg
case_images: fig2
case_images: Through a 6 Fr sheath in the right femoral vein, angiography demonstrated a complex single right lower lobe pulmonary AVM with several large arterial afferent vessels (Figure 2).