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）
- 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:behalf of the National Society for Congenital Heart Diseases
- Publication Type:Journal Article
- Keywords:
Tetralogy of Fallot;
congenital heart disease;
right ventricular outflow tract reconstruction;
surgical timing;
reconstruction strategy;
expert consensus
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(08):1153-1165
- CountryChina
- Language:Chinese
-
Abstract:
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. Right ventricular outflow tract (RVOT) reconstruction, as the core technical step of radical surgery, plays a decisive role in postoperative hemodynamics and long-term quality of life. With the substantial improvement in early survival after TOF repair, clinical focus has progressively shifted toward the prevention and management of late complications, including right ventricular dysfunction, impaired exercise capacity, and the need for reintervention. However, RVOT reconstruction strategies and the selection of repair materials remain controversial. To standardize the clinical practice of definitive TOF repair, the National Society for Congenital Heart Diseases developed this expert consensus, focusing on three domains: postoperative outcomes after TOF repair, RVOT reconstruction strategies, and the reconstructive materials.
