Prophylactic Tricuspid Annuloplasty During Mitral Valve Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Tricuspid Valve Insufficiency
- Sponsor
- Université Catholique de Louvain
- Enrollment
- 106
- Primary Endpoint
- Incidence of more than mild tricuspid insufficiency
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Single center randomized study to test whether a prophylactic tricuspid annuloplasty at the time of mitral valve procedure can improve clinical and echocardiographical outcomes.
Detailed Description
The optimal management of functional tricuspid regurgitation (FTR) in the setting of mitral valve operations remains controversial. The current practice is both center- and surgeon-specific with guidelines based on non-randomized data. A prospective randomized trial was performed to evaluate the worth of less-than-severe FTR repair during mitral valve procedures. A single center randomized study was designed to allocate patients with less-than-severe FTR undergoing mitral valve surgery to be prophylactically treated + tricuspid valve annuloplasty (TVP- or TVP+). These patients were analysed using longitudinal cardiopulmonary exercise capacity, echocardiographic follow-up, and cardiac magnetic resonance (CMR). The primary outcome was more than mild tricuspid regurgitation (TR) recurrence with vena contracta \>3mm. Secondary outcomes were maximal oxygen uptake (VO2 max) and right ventricular (RV) dimension and function.
Investigators
Pettinari Matteo
Principal Investigator
Université Catholique de Louvain
Eligibility Criteria
Inclusion Criteria
- •patients undergoing mitral valve surgery with less than sever tricuspid insufficiency
Exclusion Criteria
- •presence of pacemaker lead through the tricuspid valve
- •acute endocarditis
- •minimally invasive approach
- •Functional mitral valve insufficiency
Outcomes
Primary Outcomes
Incidence of more than mild tricuspid insufficiency
Time Frame: 5 year
Secondary Outcomes
- VO2 max(1 year)
- Right ventricular function(5 year)