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Single ventricle supplied by both atria, (i.e. double inlet LV). Status post arterial switch of Jatene, PA banding and septostomy, Glenn shunt, and extracardiac Fontan procedure without fenestration.
Pulmonary emboli cannot effectively be ruled out because the blood in the right pulmonary arteries has yet to mix homogeneously with the contrast material and the left pulmonary arteries have not even begun opacifying.
Iatrogenic pectus excavatum. The sternebrae are cleaved down the middle due to previous sternotomies.