Graft degeneration is a major cause of reoperation in young patients after pulmonary valve replacement. Glutaraldehyde fixed or cryopreserved grafts lack the potential to growth. Here we present the mid-term results of implantation of tissue engineered pulmonary homografts (TEPH) compared to glutaraldehyde-fixed bovine jugular vein (BJV) and cryopreserved homografts (CH).