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NCT07831811Not yet recruiting

Echocardiographic Perspectives on Transient Mitral Regurgitation After Septal Myectomy

Transient Mitral Regurgitation Following Septal Myectomy: A Retrospective Echocardiographic Study

Source: ClinicalTrials.gov · Last updated 14 Oct 2026

Brief summary (registry, in English)

Mitral regurgitation (MR) following septal myectomy for hypertrophic obstructive cardiomyopathy may persist despite relief of systolic anterior motion and left ventricular outflow tract obstruction. Clinical observations suggest that a subset of postoperative MR may be transient and related to posterior leaflet restriction rather than structural mitral valve abnormality. The investigators will perform a retrospective single-centre cohort study of patients undergoing septal myectomy between 2022 and 2025. Intraoperative post-bypass transesophageal echocardiograms and predischarge transthoracic echocardiograms will be independently reviewed to assess MR severity and mechanism. The investigators hypothesize that a substantial proportion of moderate-or-greater postoperative MR resolves before discharge, supporting a conservative approach to mitral valve intervention and improving intraoperative echocardiographic decision-making.

Status (registry)
Not yet recruiting
Study type
Observational
Enrollment
150 (estimated)
First submitted
15 Sept 2026
Start date
1 Oct 2026
Primary completion date
1 Jul 2027
Lead sponsor
University Health Network, Toronto
NCT number
NCT07831811

What you commit to

  • Study type: Observational
  • Planned participants: 150
  • From 1 Oct 2026 to the primary completion date, 1 Jul 2027
  • No sites listed in no country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study design.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Concomitant primary mitral valve disease due to structural abnormalities, prior ischemic MR or previous MV intervention (repair or replacement)

Other

  • Inadequate echocardiographic image quality precluding MR assessment
  • Patients without paired TEE and TTE studies

Who the study is looking for

  • Adult patients (≥18 years)
  • Undergoing septal myectomy for HOCM
  • Availability of intraoperative post-cardiopulmonary bypass TEE images
  • Availability of predischarge TTE

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

This page is information, not medical advice. Discuss any trial with your doctor.