Mitral Valve Insufficiency
Conditions
Keywords
Degenerative, Mitral Regurgitation
Brief summary
The objective of this trial is to assess the safety and effectiveness of the study device in subjects with degenerative mitral valve disease receiving a mitral valve repair without cardiopulmonary bypass (treatment group) when compared to subjects receiving mitral valve repair using standard surgical techniques with cardiopulmonary bypass (control group).
Interventions
Trans-apical, beating heart repair of degenerative mitral valve insufficiency with artificial chordae implanted with the NeoChord DS1000
Surgical repair of degenerative mitral valve insufficiency with cardiopulmonary bypass, and annuloplasty ring and some form of leaflet repair or artificial chordae.
Sponsors
Study design
Eligibility
Inclusion criteria
* Is a candidate for mitral valve repair with cardiopulmonary bypass * Has Grade III moderate or Grade IV severe degenerative mitral valve regurgitation * Primary segmental prolapse of the A2 or P2 segment or prolapse extending to an adjacent segment (P1, P3, A1, A3) who have a single eccentric regurgitant jet on echocardiogram * Anterior leaflet covers at least 65% of anterior-posterior annular distance or an anterior leaflet that would provide sufficient coaptation after chord placement * Anatomic and general suitability
Exclusion criteria
* Prior mitral valve surgery * Concomitant cardiac procedures * Other cardiac procedures within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of subjects free of Major Adverse Events (MAEs) in the treatment group when compared to subjects in the control group. | Post-operative Day (POD) 30 |
| Proportion of subjects free of Grade II, III or IV mitral regurgitation, mitral valve replacement or mitral valve reintervention in the treatment group when compared to subjects in the control group. | 1 year |
Countries
United States