Protocol for Chinese expert consensus on right ventricular outflow tract reconstruction in tetralogy of Fallot (2026 edition)
- VernacularTitle:法洛四联症根治术右心室流出道重建中国专家共识（2026版）计划书
- Author:
Benqing ZHANG
1
;
Xiaomin HE
2
;
Yong ZHANG
3
;
Hao ZHANG
2
;
Huishan WANG
3
;
Shoujun LI
1
Author Information
1. Pediatric Cardiac Surgery Center, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P. R. China
2. Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, P. R. China
3. Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, 110000, P. R. China
- Collective Name:the National Society for Congenital Heart Diseases
- Publication Type:Journal Article
- Keywords:
Tetralogy of Fallot;
right ventricular outflow tract reconstruction;
surgical timing;
reconstruction strategy;
expert consensus;
protocol
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(07):1007-1012
- CountryChina
- Language:Chinese
-
Abstract:
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. As a critical component of surgical repair, reconstruction of the right ventricular outflow tract (RVOT) serves as a primary determinant of postoperative hemodynamics and long-term prognosis. With advancements in surgical techniques, early postoperative survival rates for TOF have significantly improved, shifting clinical focus toward addressing long-term complications such as right ventricular dysfunction and reduced exercise tolerance. However, challenges persist regarding optimal timing of surgery in relation to adverse long-term outcomes, balancing RVOT reconstruction strategies, and selecting appropriate repair materials for RVOT reconstruction, with a lack of unified high-level evidence-based guidelines. To address these issues and standardize the application of radical corrective surgery for TOF to better serve patients, the National Society for Congenital Heart Diseases has systematically reviewed existing high-level evidence. Consequently, we have registered and formulated the "Protocol for Chinese expert consensus on right ventricular outflow tract reconstruction in tetralogy of Fallot (2026 edition)", which details the methodology and development process of this upcoming consensus.
