Allograft, Bioprosthesis, Tricuspid Valve Disease
Conditions
Brief summary
The aim of the study is to evaluate early safety, clinical efficacy and long-term outcomes of mitral allografts and stented biological prosthesis in tricuspid valve replacement for primary tricuspid valve diseases.
Detailed description
Early safety (morbidity, mortality rate, freedom from any valve related complication) along with clinical efficacy ( survival, freedom from reoperation, repeat endocarditis and other valve related complication ), long term outcomes ( survival, freedom from reoperation, repeat endocarditis and other valve related complication ), echocardiografic assessment and MSCT scan for both groups of patients are going to be evaluated.
Interventions
Complete or partial tricuspid valve replacement with mitral allograft/ complete tricuspid valve replacement with biological prosthesis
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with primary tricuspid valve disease and/or tricuspid bioprosthetic failure scheduled for tricuspid valve intervention. * Intraoperative findings suggested for tricuspid valve replacement rather than repair.
Exclusion criteria
* Pregnancy * Confirmed active drug addiction * Progressive HIV-infection * HIV-infected patients with CD4-cells count less than 250 * Patients with secondary tricuspid valve pathology (left-sided valve disease) * LV Ejection fraction less than 40%
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| New pacemaker implantation | 1-year after surgery, annually, assessed up to 3 years | Number of patients, free from pacemaker implantation after surgery (n,%) |
| Severe valve dysfunction | 1-year after surgery, annually, assessed up to 3 years | Number of patients free from peak valve gradient more than 6 mmHg and severe valve regurgitation (vena contracta no more than 6 mm), (n,%) |
| Freedom from prosthetic endocarditis | 1-year after surgery, annually, assessed up to 3 years | Number of patients free from prosthetic endocarditis (n,%) |
| Freedom from reoperation | 1-year after surgery, annually, assessed up to 3 years | Number of patients free from secondary operation due to severe valve (n,%) dysfunction (n,%) |
| Mortality | 30-day period after surgery | Freedom from all-cause mortality (%) |
| Stroke | 30-day period after surgery | Stroke rate (n,%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Transprosthetic regurgitation | 1 year after surgery, annually, assessed up to 3 years | Vena contracta (mm) |
| Right atrial remodeling | 1 year after surgery, annually, assessed up to 3 years | right atrium size (mm) |
| Transvalvular gradient | 1 year after surgery, annually, assessed up to 3 years | Peak and mean gradient (mmHg) |
Countries
Russia