Micro-Invasive Heart Surgery for Tetralogy of Fallot (TOF) | Beijing Jingdu Children's Hospital, China

9.60

Beijing, China

Overview

Age group

Kids

Type of care

Inpatient

Method

Microinvasive

About the offer

As a National Training Base for Three-Level Prevention and Treatment of Congenital Heart Disease, Beijing Jingdu Children’s Hospital’s Cardiothoracic Surgery Center focuses on the core feature of right axillary mini-incision technique, safeguarding CHD children with leading medical expertise and quality services. Led by authoritative expert Professor Yang Xueyong, the core surgeons have over 5,000 independent CHD surgery experiences. The right axillary mini-incision (3-5cm, concealed) avoids sternal splitting and rib cutting, preserving thoracic integrity, preventing complications like pigeon chest, and not affecting breast development. It features less bleeding, rapid recovery (ambulation within days), and shortened hospitalization to 7-10 days. Equipped with class 100 laminar flow operating rooms, the center performs nearly 1,000 CHD surgeries annually with a 99. 7% success rate, pioneering mini-incision radical surgery for complex CHD. Comprehensive preoperative assessment, postoperative monitoring, and humanized care ensure surgical safety, providing precise, minimally invasive, and efficient one-stop services. The optimal surgical timing for children is 1-2 years old.

What’s included

Medical service

Examination

Pediatric cardiology consultation and comprehensive physical examination
Assessment of cyanosis severity, oxygen saturation trends, and “tet spells” history
Growth, nutrition, and developmental evaluation to optimize surgical readiness
Detailed cardiac imaging assessment planning (right ventricular outflow tract obstruction, pulmonary valve/arteries)
Pre-anesthesia evaluation and perioperative risk assessment (airway, lung status, comorbidities)

Laboratory tests

Complete blood count (CBC) with hematocrit/hemoglobin (polycythemia evaluation)
Coagulation profile (PT/INR, APTT)
Renal and liver function tests, electrolytes, and blood gas analysis as indicated
Blood type and crossmatch (typically required)
Infection screening per operative protocol (e.g., hepatitis, HIV, others as indicated)
Electrocardiogram (ECG) and chest X-ray
Echocardiography with Doppler assessment (VSD anatomy, RVOT gradient, pulmonary valve annulus, PA branches, ventricular function)
CT angiography / cardiac MRI when needed (pulmonary artery mapping, coronary anatomy, collateral vessels)

Diagnosis

Confirmation of Tetralogy of Fallot and anatomical subtype
Definition of key surgical anatomy: VSD characteristics, RVOT obstruction level, pulmonary valve/artery size, and coronary artery course
Assessment of severity (cyanosis, RV pressure load, pulmonary blood flow) and timing for repair
Evaluation for associated conditions (right aortic arch, MAPCAs, branch PA stenosis, additional septal defects)
Surgical strategy selection: primary complete repair versus staged approach when clinically indicated

Treatment

Individualized micro-invasive TOF repair plan tailored to anatomy, age, and clinical stability
Minimally invasive access approach (small incision technique) with cardiopulmonary bypass as required
Complete repair typically includes: VSD closure and relief of RVOT obstruction
Pulmonary valve/RVOT reconstruction strategy selected per anatomy (valve-sparing approach when feasible; patch augmentation when required)
Perioperative care: anesthesia management, hemodynamic monitoring, ventilation strategy, infection prevention, and pain control
Post-operative ICU monitoring for arrhythmias, right ventricular function, bleeding, and oxygenation
Follow-up echocardiography to evaluate RVOT gradient, pulmonary regurgitation, and ventricular function
Structured discharge and rehabilitation plan with activity guidance, medication plan, and scheduled follow-ups

Other

Multidisciplinary team planning (cardiology, cardiac surgery, anesthesia, ICU, imaging, nutrition)
Family counseling on procedure steps, expected outcomes, potential complications, and recovery timeline (case-dependent)
International patient coordination: scheduling, admissions support, documentation guidance, interpreter services, and inpatient navigation
Comprehensive medical report package for continued care with the child’s local cardiologist
Caregiver education on warning signs after discharge (respiratory distress, fever, poor feeding, cyanosis, palpitations)

Distant service

Remote review of echocardiography/CT reports and clinical history to confirm surgical candidacy and plan approach
Online consultation to explain repair strategy (primary vs. staged), anticipated ICU/hospital course, and follow-up requirements
Pre-arrival checklist for tests and imaging to streamline admission and minimize delays
Post-discharge tele-follow-ups to review recovery progress, medications, oxygen saturation trends, and imaging results
Coordination with local healthcare providers for long-term surveillance (RV function, pulmonary valve status, rhythm monitoring)

Extra add-ons

Single room

Hospital meals

Personal coordinator

Language Assistance

Visa Support

AiroCare

AiroMedical support

Payment protection

Patient advocacy

Price match

Meet the provider

Dr. Yang Xueyong, PhD

pediatric cardiothoracic surgery, congenital heart disease surgery

9.60

Excellent

Gallery

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