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Figure 2: (a) Venogram from inferior vena cava showing the shunt (yellow arrow) with reduced caliber distal portal vein radicals (black arrow). (b) Dilation of the manually created fenestration with short 7F dilator. (c) Muscular ventricular septal defect occluder deployed (arrow), wire through the fenestration seen

Figure 2: (a) Venogram from inferior vena cava showing the shunt (yellow arrow) with reduced caliber distal portal vein radicals (black arrow). (b) Dilation of the manually created fenestration with short 7F dilator. (c) Muscular ventricular septal defect occluder deployed (arrow), wire through the fenestration seen