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Pulmonary arteriovenous malformation (PAVM) is an uncommon abnormality that can be single or multiple, unilateral or bilateral, and is sometimes part of the multisystem disorder hereditary haemorrhagic telangiectasia. Two aspects of PAVMs are of paramount significance: firstly, right-to-left shunting through the malformation may allow bland or septic paradoxical embolisation into the …