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Fig. 4. —7-year-old boy with group 2 anomaly and left atrial isomerism, double outlet right ventricle, unbalanced atrioventricular canal defect (right dominant), coarctation of aorta, bilateral superior vena cavae, and azygos continuation of inferior vena cava. Previous surgeries (not shown) included Damus-Kaye-Stansel anastomosis [13], coarctation repair, right modified Blalock-Taussig shunt, Kawashima procedure [7], and bidirectional left superior vena cava to pulmonary artery anastomosis. Left renal venogram shows renal-portal-hepatic venous plexus (asterisk). PV = pulmonary vein, LRV = left renal vein.

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