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Pulmonary AV fistula in bilateral pulmonary embolism with pulmonary hypertension
  1. G Shalima,
  2. B K Goyal,
  3. D K Mishra,
  4. A Sharma
  1. Department of Cardiology, Bombay Hospital Institute of Medical Sciences, Mumbai, India
  1. Correspondence to Dr G Shalima, Department of Cardiology, Bombay Hospital, 12 New Marine Lines, Mumbai 400020, India; shalima16{at}rediffmail.com

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A 40-year male presented with complaints of dyspnoea on exertion of 6 months duration. Physical examination was unremarkable, and arterial oxygen saturation was 95%. ECG revealed sinus tachycardia with RV strain. Doppler lower-limb study showed significant thrombus burden in bilateral …

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