Functional ischemic mitral regurgitation Circulatory System Mitral (valve) insufficiency
Conditions
Interventions
1. Intervention group: Coronary artery bypass grafting + down-sized mitral ring annuloplasty
2. Control group: Coronary artery bypass grafting
3. Follow-up: Echocardiography 6 months, 1 year
Sponsors
Montreal Heart Institute (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Moderate (grade 2+) functional ischemic mitral regurgitation in patients undergoing coronary artery bypass grafing
Exclusion criteria
Exclusion criteria: 1. Papillary muscle rupture 2. Concomitant aortic valve surgery 3. Life expectancy less than 12 months 4. Creatinine > 200 µmol/l
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Mitral regurgitation severity 2. Left ventricular geometry and function 3. Evaluated 6 and 12 months by echocardiography | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mortality: in hospital and 5 years 2. New York Heart Association (NYHA) class: evaluated at 5 years 3. The following outcomes are measured 12 months postop 3.1. 6-min walk test 3.2. Minnesota questionnaire score 3.3. Brain Natriuretic Peptide (BNP) | — |
Countries
Canada
Outcome results
None listed