A 0.2-year-old boy, S/P 2 × aortic valve balloon valvuloplasty, AVR with DAH 10 mm in 2010 and redo AVR in 2015 with 17 mm DAH. Recent echo at 8 years following redo DAH implantation shows normal ventricular dimensions and function. Competent and pliable DAH cusps and a normal, untouched pulmonary valve. AVR: aortic valve replacement; DAH: decellularized aortic homograft.