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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 …
Contributors All of the authors have contributed to the writing and editing of the text and selection, retrieval, and editing of the images seen in this report. Each of the authors approves of the content of this report and has approved of the final version submitted to Heart for peer review.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.