“…Previously, CorMatrix or bovine or equine pericardium has been used to construct the “cylinder valve,” 1,2,6 although the lack of regenerative potential and possibility of inflammatory reaction have been recognized. We decided to use the RAA due to our previous experience with using it as a pulmonary valve substitute 5,7 as well as partial aortic valve reconstruction. Theoretically, there would be no inflammatory reaction since it is all autologous material, and it may have growth potential.…”