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Arteriovenous malformations in the mediastinum are rare and extremely unusual in middle mediastinum. The present report describes a 26-year male with spontaneous massive hemoptysis due to arteriovenous malformation in middle mediastinum and successful management by endovascular embolization. Spontaneous massive hemoptysis can be a presenting feature of arteriovenous malformation in middle mediastinum and endovascular embolization can be curative.doi:10.1016/j.radcr.2021.07.015 fatcat:acix3nvdqreyjk4typ7pji2jam