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tively uncommon (9/413 patients, 2.2%) but may be underrepresented. Patients after ASO typically have good long-term clinical outcomes but reoperations and interventions remain necessary in some patients. Neoaortic valve regurgitation with root dilatation is the second most common indication for reoperation after right ventricular outflow tract obstruction and an increasing need for neoaortic valve and root redo surgery in future is to be expected. Patients after ASO typically have good long-term clinical outcomes but reoperations and in