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Autologous untreated pericardium is the first material used for reconstruction in cardiac surgery but fell out of repute because of its early failure. Easy availability, and its likeness to valve tissue still upholds the promise of its use as a material for reconstruction of valve.

journal of cardiothoracic surgery

Use of untreated fresh autologous pericardium for reconstruction of pulmonary valve in tetralogy of Fallot requiring transannular patch: Is it the best material?