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We retrospectively evaluated 42 patients who underwent PPVI (Sapien\u00ae XT valve) to native RVOT due to severe pulmonary regurgitation (PR) and\/or moderate to severe pulmonary stenosis (PS) between August 2015 and November 2020. The median patient age at the time of PPVI was 13.4\u00a0years (6.1\u201336.5\u00a0years). The median body weight of the patients was 42\u00a0kg (15\u2013110\u00a0kg). The rate of patients who were followed up without the need for percutaneous or surgical intervention was 97.4% at the end of year 1, 89.3% at the end of year 3, and 85.8% at the end of year 5. At the end of year 6, the proportion of patients requiring no procedure remained constant, with year 5 at 85.8%, but decreased to 70.2% at the end of year 7. Although the early results are very encouraging, it is seen that PPVI in patients with RVOT in the long term brings some problems. The most important of these is tricuspid valve problems, which were not considered before the procedure. Patients requiring reintervention due to pulmonary regurgitation show similar characteristics to surgical valves\u2019 long-term results.<\/jats:p>","DOI":"10.1007\/s00246-025-03776-x","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T13:16:25Z","timestamp":1737465385000},"page":"362-374","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating the Sapien\u00ae XT Valve in Native Right Ventricular Outflow Tracts After Tetralogy of Fallot Repair: Mid- and Long-Term Results"],"prefix":"10.1007","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1041-6299","authenticated-orcid":false,"given":"Ender","family":"Odemis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-5360","authenticated-orcid":false,"given":"Aydin","family":"Celikyurt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6332-5302","authenticated-orcid":false,"given":"Mete Han","family":"Kizilkaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9079-9818","authenticated-orcid":false,"given":"\u0130brahim Halil","family":"Demir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"issue":"1","key":"3776_CR1","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1001\/jamacardio.2018.4255","volume":"4","author":"CA Smith","year":"2019","unstructured":"Smith CA, McCracken C, Thomas AS, Spector LG, St Louis JD, Oster ME et al (2019) Long-term outcomes of tetralogy of Fallot: a study from the Pediatric Cardiac Care Consortium. 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