The pulmonic valve homograft would not need to grow since the pressures on this side of the heart are low to begin with so the pulmonic valve would not need to enlarge as the child grows. Generally, valve replacement is delayed as long as possible to allow the child to grow, but specifics about that decision need to be elucidated by her cardiologist. We have a number of excellent pediatric cardiologists here who would be happy to see your niece, if your family would like to bring her to Cleveland for an evaluation. We also have excellent pediatric cardiac surgeons here as well. I hope you find this information useful.
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