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2%. PH failure occurred in 13 patients (12.0%). Median time before PH failure was 6.7 years (IQR 9.6). Freedom from PH failure at 10 years was 81.6%. Reoperation for PH failure occurred in four patients (3.9%). Concomitant tricuspid surgery (p = .01; 95% confidence interval [CI] 1.9-319.6) and undersized PH (p = .01; 95% CI 2.06-719.8) were independent risk factors of late reoperation. Implantation of large PH for RVOT reconstruction provides excellent midterm results in terms of reoperation. Implantation of large PH for RVOT reconstructi
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