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In children with aortic valve disease associated with annular hypoplasia or complex multi-level left ventricular outflow tract obstruction (LVOTO), the Ross procedure, combined with a modified Konno-type aortoventriculoplasty is advocated. We aim to examine the fate of the neoaortic apparatus and assess neoaortic valve function following the modified Ross-Konno procedure.Forty-three patients, median...