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Heart Recovery After Surgery for Leaky Aortic Valve and Mitral Leakage

Observes heart recovery after valve surgery in adults with enlarged heart chambers.

Key facts

Who runs it
Petrovsky National Research Centre of Surgery
Where
Moscow and Voronezh, RussiaSee the 2 sites
Trial code
Registry title
Left Ventricular Reverse Remodeling Evaluation After Surgical Correction of Aortic Regurgitation
Status
Recruiting
People taking part
120 people, planned
Started
9 May 2024
Expected to end
May 2030
Type of study
Observational, 4 groups
Treatments tested
  • Not applicable - observational study
Record updated
11 June 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults who are planned for surgery for long-lasting aortic regurgitation. They must also have functional mitral regurgitation and a very enlarged left ventricle.

Age
Over 18 years
Sex
All sexes can join
Disease stage
Chronic aortic regurgitation with functional mitral regurgitation, and a left ventricle end-diastolic volume of 250 ml or more
Earlier treatment
Planned first elective surgery for chronic aortic regurgitation

Main reasons for not taking part

  • Infection of the heart valves (infectious endocarditis)
  • Earlier heart attack
  • Sudden (acute) aortic regurgitation
  • Long-lasting or permanent atrial fibrillation
  • Pacemaker already implanted

The registry criteria, word for word

Show all 17 criteriaShow less

Who can take part

  • Age over 18 years
  • Planned primary elective surgery for chronic aortic regurgitation
  • Presence of functional mitral regurgitation
  • End-diastolic volume of the left ventricle \>= 250 ml

Who cannot take part

  • Previously diagnosed dilatation of the left ventricle, not associated with the development of aortic regurgitation
  • Pregnancy in the first 12 months after surgery
  • Acute coronary event diagnosed within 12 months after aortic valve surgery
  • Indications for resynchronization therapy or permanent right ventricular pacing in the first 12 months after aortic valve surgery
  • History of myocardial infarction
  • Indications on simultaneous myocardial revascularisation
  • Re-do cardiac surgery for any reason within 12 months after aortic valve surgery
  • Infectious endocarditis
  • Acute aortic regurgitation of any etiology
  • Long-term persistent or permanent form of atrial fibrillation
  • Simultaneous participation in other studies
  • Presence of implanted pacemakers
  • Refusal to sign informed consent

Where in Russia

  • Petrovsky National Research Center of SurgeryMoscow, RussiaContact: Eduard Charchyan, professorTaking people
  • Voronezh Regional Clinical Hospital No. 1Voronezh, RussiaContact: Andrei BulyninTaking people

About the trial

What the trial wants to find out

Investigators assume that surgical correction approach to functional mitral regurgitation during intervention for chronic aortic regurgitation in patients with severe enlargement of the left heart chambers influences reverse remodeling of the left ventricle (LV) in the postoperative period. It is suggested that functional mitral regurgitation (MR) provides supra-physiological left ventricle volume overload and this fact plays positive role in early-stage post-operative left ventricle volume and function recovery. LV volume, systolic and diastolic function will be monitored with echocardiography (EchoCG) along with life quality in patients with different grades of functional mitral regurgitation secondary to severe chronic aortic insufficiency after surgical treatment of aortic regurgitation.

The 4 groups in the trial

  • MR < 2 no MvR

    Patients with functional mitral regurgitation grade 0-1, 1 and 1-2 without mitral valve repair (MvR)

    Treatment: Not applicable - observational study

  • MR >= 2 no MvR

    Patients with mitral valve functional regurgitation of grade 2 and more severe without mitral valve repair

    Treatment: Not applicable - observational study

  • MR < 2 MvR

    Patients with functional mitral regurgitation grade 0-1, 1 and 1-2, mitral valve repaired

    Treatment: Not applicable - observational study

  • MR >= 2 MvR

    Patients with mitral valve functional regurgitation of grade 2 and more severe, mitral valve repaired

    Treatment: Not applicable - observational study

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Left Ventricular Reverse Remodeling Outcomes Evaluation in Patients With Aortic Regurgitation After Surgical Treatment
Plain-language title
Heart Recovery After Surgery for Leaky Aortic Valve and Mitral LeakageGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
11 June 2025