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Postoperative complications were observed in 4 patient including 2 in hospital deaths and 2 required interventions. One patient developed aneurysm at RV- conduit junction requiring surgical repair and the other underwent conduit dilatation for moderate to severe stenosis (gradient 60mmHg). No significant regurgitation was observed in this series. Overall postoperative gradients were stable with mean gradient 25.3mmHg (8mmhg - 60mmHg). The use of handmade valve conduits has acceptable morbidity and mortality. These are cost effective alte