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A boy with Ebstein's anomaly underwent uneventful, staged palliation to a fontan circulation. Fontan completion consisted of a 16 mm Gore-Tex extracardiac conduit between the inferior vena cava (IVC) and right pulmonary artery. A 6 mm polytetrafluoroethylene tube graft was anastamosed end-to-side between the extracardiac conduit and the right atrium to create a fenestration. Two surgical clips were placed in the mid-portion of the graft to reduce the fenestration lumen. Catheterisation …
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