Chinese expert consensus on surgical treatment of congenital heart disease (10): Tetralogy of Fallot_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 WANG Huishan ¹ ,  LI Shoujun ²

1. Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, 110016, P.R.China;
2. Department of Pediatric Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P.R.China;

Corresponding author：

WANG Huishan, Email: huishanwang@hotmail.com; LI Shoujun, Email: drlishoujun@yahoo.com

Keywords：

Congenital heart disease; tetralogy of Fallot; surgical treatment; expert consensus

DOI：

10.7507/1007-4848.202007065

Video：

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Abstract Full text Figures/Tables Video References Cited by

Tetralogy of Fallot is the most common cyanotic congenital heart disease. The pathological anatomy changes include ventricular septal defect, right ventricular outflow tract stenosis, aortic stradding and right ventricular hypertrophy. At present, the diagnostic criteria and treatment strategies of this disease are basically unified. However, there are controversies about the timing and method of surgical treatment. Based on the evidence-based information provided in the literature and the opinions of domestic experts of China, we formulate a consensus of Chinese experts to further standardize the surgical treatment of tetralogy of Fallot.

Citation： WANG Huishan, LI Shoujun. Chinese expert consensus on surgical treatment of congenital heart disease (10): Tetralogy of Fallot. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(11): 1247-1254. doi: 10.7507/1007-4848.202007065 Copy

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1. 易定华, 徐志云, 王辉山, 主编. 心脏外科学. 第 2 版. 北京: 人民军医出版社, 2016. 1169-1203.
2. Kirklin/Barratt-Boyes, Chief editor. Cardiac Surgery, Fourth Edition. Netherlands: Elsevier Saunders, 2013. 1359-1467.
3. 刘锦纷, 孙彦隽, 主译. 小儿心脏外科学, 第 4 版. 上海: 上海世界图书出版公司, 2014. 467-487.
4. 刘锦纷, 孙彦隽, 主译. 先天性心脏病外科综合治疗学, 第 2 版. 上海: 上海世界图书出版公司, 2016. 343-365.
5. Dickinson DF. Variations in morphology of the ventricular septal defect and disposition of atrioventricular conduction tissues in tetralogy of Fallot. Thorac Cardiovasc Surg, 1982, 30(5): 243-249.
6. 邢泉生, 武钦, 刘玮, 等. 一期手术根治新生儿早产儿有症状法洛四联症. 中华胸心血管外科杂志, 2017, 33(5): 262-266.
7. Jonas RA. Early primary repair of tetralogy of Fallot. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2009, 12(1): 39-47.
8. Van Arsdell GS, Maharaj GS, Tom J, et al. What is the optimal age for repair of tetralogy of Fallot? Circulation, 2000, 102(19 Suppl 3): Ⅲ123-Ⅲ129.
9. Ooi A. Medium term outcome for infant repair in tetralogy of Fallot: indicators for timing of surgery. Eur J Cardiothorac Surg, 2006, 30(6): 917-922.
10. Kirsch RE, Glatz AC, Gaynor JW, et al. Results of elective repair at 6 months or younger in 277 patients with tetralogy of Fallot: a 14-year experience at a single center. J Thorac Cardiovasc Surg, 2014, 147(2): 713-717.
11. Tamesberger MI, Lechner E, Mair R, et al. Early primary repair of tetralogy of Fallot in neonates and infants less than four months of age. Ann Thorac Surg, 2008, 86(6): 1928-1935.
12. Vida VL, Angelini A, Guariento A, et al. Preserving the pulmonary valve during early repair of tetralogy of Fallot: Anatomic substrates and surgical strategies. J Thorac Cardiovasc Surg, 2015, 149(5): 1358-1363.
13. Khan SM, Drury NE, Stickley J, et al. Tetralogy of Fallot: morphological variations and implications for surgical repair. Eur J Cardiothorac Surg, 2019, 56(1): 101-109.
14. Chan FP. MR and CT imaging of the pediatric patient with structural heart disease. Semin Thorac Cardiovasc Surg, 2008, 20(4): 393-399.
15. Shinebourne EA, Babu-Narayan SV, Carvalho JS, et al. Tetralogy of Fallot: from fetus to adult. Heart, 2006, 92(9): I 353-I 359.
16. van Dongen EI, Glansdorp AG, Mildner RJ, et al. The influence of perioperative factors on outcomes in children aged less than 18 months after repair of tetralogy of Fallot. J Thorac Cardiovasc Surg, 2003, 126(3): 703-710.
17. Lee CH, Kwak JG, Lee C. Primary repair of symptomatic neonates with tetralogy of Fallot with or without pulmonary atresia. Korean J Pediatr, 2014, 57(1): 19-25.
18. Kolcz J, Pizarro C. Neonatal repair of tetralogy of Fallot results in improved pulmonary artery development without increased need for reintervention. Eur J Cardiothorac Surg, 2005, 28(3): 394-399.
19. Steiner MB, Tang X, Gossett JM, et al. Timing of complete repair of non-ductal-dependent tetralogy of Fallot and short-term postoperative outcomes, a multicenter analysis. J Thorac Cardiovasc Surg, 2014, 147(4): 1299-1305.
20. Mimic B, Brown KL, Oswal N, et al. Neither age at repair nor previous palliation affects outcome in tetralogy of Fallot repair. Eur J Cardiothorac Surg, 2014, 45(1): 92-99.
21. Savla JJ, Faerber JA, Huang YS, et al. 2-year outcomes after complete or staged procedure for tetralogy of Fallot in neonates. J Am Coll Cardiol, 2019, 74(12): 1570-1579.
22. Kanter KR, Kogon BE, Kirshbom PM, et al. Symptomatic neonatal tetralogy of Fallot: repair or shunt? Ann Thorac Surg, 2010, 89(3): 858-863.
23. Jeon B, Kim DH, Kwon BS, et al. Surgical treatment of tetralogy of Fallot in symptomatic neonates and young infants. J Thorac Cardiovasc Surg, 2020, 159(4): 1466-1476.
24. Balasubramanya S, Zurakowski D, Borisuk M, et al. Right ventricular outflow tract reintervention after primary tetralogy of Fallot repair in neonates and young infants. J Thorac Cardiovasc Surg, 2018, 155(2): 726-734.
25. Pozzi M, Trivedi DB, Kitchiner D, et al. Tetralogy of Fallot: what operation, at which age. Eur J Cardiothorac Surg, 2000, 17(6): 631-636.
26. Wilder TJ, VanArsdell GS, Benson L, et al. Young infants with severe Tetralogy of Fallot: Early primary surgery versus transcatheter palliation. J Thorac Cardiovasc Surg, 2017, 154(5): 1692-1700.
27. Bailey J, Elci OU, Mascio CE, et al. Staged versus complete repair in the symptomatic neonate with tetralogy of Fallot. Ann Thorac Surg, 2020, 109(3): 802-808.
28. Ramakrishnan KV, David Z, William P, et al. Symptomatic Tetralogy of Fallot in young infants: primary repair or shunt—pediatric health information system database analysis. World J Pediatr Congen Heart Surg, 2018, 9(5): 539-545.
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Chinese expert consensus on surgical treatment of congenital heart disease (10): Tetralogy of Fallot

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