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An 8‐month‐old female with hypoplastic left heart syndrome had undergone bidirectional cavopulmonary anastomosis at the age of 4.5 months and presented with a new continuous flow murmur on routine follow‐up. Diagnostic catheterization demonstrated a fistula between the left atrial appendage and the neo‐aortic arch. The fistula was sealed with an Amplatzer Vascular Occluder II device without complications...
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