“Vascular malformations” comprise a group of lesions, formed by an anomalous proliferation of angiovascular or lymphovascular structures. Arteriovenous malformations (AVMs) are high-flow malformation, characterized by direct communication between arteries and veins, lacking normal capillary network. AVMs are usually congenital. Acquired AVMs are reported to occur due to trauma or hormonal changes. Acquired AVMs, though rare in oral cavity, when present are persistent and progressive in nature and can represent a lethal benign disease. They are often associated with extensive blood loss, and an incomplete resection frequently leads to regrowth of the lesion often larger than its original size. We present a rare case of an acquired AVM diagnosed on contrast-enhancing computed tomography angiography and histopathology in a 65-year-old professional trumpet blower.