Rheumatic valvular disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who require replacement or surgical valve plasty by insufficiency or mitral or aortic stenosis caused by rheumatic fever. 2. Patients with age = 18 years and = 65 years. 3. Patients who have signed the informed consent model. 4. Patients with figures of hemoglobin = 13 g/dL.
Exclusion criteria
Exclusion criteria: 1. Patients with uncontrolled arterial hypertension. 2. Patients with insulin-dependent diabetes mellitus. 3. Patients with a known risk or a history of venous or arterial thromboembolic disease. 4. Patients with a known history of renal failure. 5. History of cerebrovascular disease. 6. Oncological diseases. 7. Patients with known hypersensitivity to products derived from upper cells or human albumin. 8. Pregnancy or breastfeeding. 9. Need to replace 2 or more valves or other types of cardiovascular surgery.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| The effect-related. Functional class (NYHA) (Physical examination: Grade I, Grade II, Grade III, Grade IV).Measurement time: at baseline, 72 hours after the intervention, 7 days, to the 1st month, at 3, 6 and 12 months. Ventricular ejection fraction (FEV, % according to the ECO report). Measurement time: at baseline, 48 hours after operated, 7 days, to the 1st month, at 3, 6 and 12 months. Fraction of shortening (FAC, % according to the ECO report). Measurement time: at baseline, 48 hours after operated, 7 days, to the 1st month, at 3, 6 and 12 months. Global contractility (ECO report. It will be evaluated as: Preserved or altered). Measurement time: at baseline, 48 hours after operated, 7 days, to the 1st month, at 3, 6 and 12 months. Segmental contractility (ECO report. It will be evaluated as: Normal, hypokinesia, Akinesia, dyskinesia of one or more segments). Measurement time: at baseline, 48 hours after operated, 7 days, to the 1st month, at 3, 6 and 12 months. End-systolic diameter of left ventricle (VI) (value in mm according to the ECO report).Measurement time: at baseline, 48 hours after operated, 7 days, to the 1st month, at 3, 6 and 12 months. End-diastolic diameter of left ventricle (VI) (value in mm according to the ECO report).Measurement time: at baseline, 48 hours after operated, 7 days, to the 1st month, at 3, 6 and 12 months. Safety-related. Occurrence of any AE (Yes, No). Measurement time: 12 months after administration of the product. Description of the AE (type of AE presented). Measurement time: 12 months after administration of the product. Duration of the AE (the difference in dates between the start and the completion of the event). Measurement time: 12 months after administration of the product. Intensity of the AE (1.Mild, 2.Moderate, 3.Severe). Measurement time: 12 months after administration of the product. Consequence of the AE (Serious, Not serious).Measurement time: 12 months after administration of the product. Result of the AE | — |
Primary
| Measure | Time frame |
|---|---|
| Postsurgical myocardial damage (cardiac biomarker (troponin T) in ng/mL). Measurement time: 48 hours previous to the intervention, 1st and 2nd postoperative day every 12 hours. Daily in Day 3, 5, and 7 of the postoperative. | — |
Countries
Cuba
Contacts
CIMAB