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OBJECTIVESThis study was conducted to assess the need for, and use of, fenestration of an extracardiac conduit Fontan.BACKGROUNDFenestration of a Fontan connection has been proposed as a means of improving outcomes of single ventricle palliation. The benefit of fenestration is likely to be greatest in the early postoperative period when patients may experience increased pulmonary vascular resistance...