This protocol applies to patients with Tetralogy of Fallot who have no native right ventricular outflow tract, having previously undergone RVOT surgery with placement of a homograft, bovine jugular vein graft, bioprosthesis, or conduit. The absence of a native outflow tract shapes the preferred interventional strategy.
Patients with previous RVOT surgery using homografts, bovine jugular vein grafts, bioprostheses, or conduits who now present with no native outflow tract. This specific surgical history determines both eligibility for and the preferred choice of intervention.
When anatomically feasible, a transcatheter approach to pulmonary valve replacement is identified as the preferred first-line intervention in this population. Full eligibility criteria, procedural decision pathway, and anatomical considerations are detailed in the complete structured regimen.
DOI: 10.1093/eurheartj/ehaa554