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While you will find continuous tests to demonstrate the efficacy of intermediate dosing against standard DVT prophylaxis within the prevention of VTE, we provide a 36-year-old male admitted with COVID-19 pneumonia who created severe high-risk pulmonary embolism (PE) requiring emergent thrombolytic treatment despite advanced dosing DVT prophylaxis.Pulmonary arteriovenous malformations (PAVMs) tend to be rare vascular structures offering direct capillary-free communications between pul