Mitral valve disease
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Mitral valve disease that meets at least one of following conditions and is indicated for surgery (1) Symptomatic acute severe MR (2) Chronic severe MR and NYHA functional class II, III or IV symptoms in the absence of severe LV dysfunction (severe LV dysfunction is defined as ejection fraction less than 0.30). (3) Asymptomatic chronic severe MR with mild to moderate LV dysfunction, ejection fraction 0.30 to 0.60, and/or end-systolic dimension greater than or equal to 40 mm. (4) Symptomatic (NYHA functional class III-IV) moderate or severe mitral stenosis when 1) percutaneous mitral balloon valvotomy is contraindicated because of left atrial thrombus despite anticoagulation or because concomitant moderate to severe MR is present, 2) the valve morphology is not favorable for percutaneous mitral balloon valvotomy, or 3) percutaneous mitral balloon valvotomy has failed. 2. Advamced mitral valve disease that standard mitral valve repair is difficult for and is unlikely to present durable results for. 3. Written informed consent is obtained.
Exclusion criteria
Exclusion criteria: 1. Active malignancy 2. Dialysis 3. Participating in other trials 4. Myocardial infarction in the last 6 months 5. Stroke in the last 6 months 6. Previous percutaneous coronary stenting in a month before surgery 7. Concomitant procedures other than valvular operation 8. Severe left ventricular dysfunction (ejection fraction less than 0.30) 9. When excellent outcomes and prognosis are expected with standard prosthetic mitral valve replacement 10. When a principal investigator deems a patient inappropriate as a trial subject
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Residual mitral regurgitation two weeks after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse events in 6 months after surgery | — |
Countries
Japan
Contacts
Keio University School of Medicine Department of Cardiovascular Surgery