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Functional Mitral regurgitation is a now well known entity due to tethering of the valve either mono-lateral, as happens in lateral myocardial infarction, or bilateral as happens in dilated cardiomyopathy. Treatment of this pathology, either conserving the valve and addressing regurgitation by mean of restrictive annuloplasty, or implanting a prosthesis remains controversial in terms of mid and long term benefit for the patient. The investigators propose a randomized controlled study to compare the efficacy of both technique in terms of mortality and freedom from reintervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Plasty | Active Comparator | Patients treated with restrictive Annuloplasty |
|
| Prosthesis | Active Comparator | Patients treated with valve replacement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Plasty | Procedure | Restrictive Annuloplasty |
| |
| Prosthesis |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | 1 year of follow up after discharge from hospital |
| Measure | Description | Time Frame |
|---|---|---|
| Freedom from reintervention | 1 year of follow-up after discharge from hospital |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Luca Weltert, MD | Cardiochirurgia E.H. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Divisione di Cardiochirurgia, E.H. | Rome | 00149 | Italy |
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| ID | Term |
|---|---|
| D019736 | Prostheses and Implants |
| ID | Term |
|---|---|
| D004864 | Equipment and Supplies |
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| Procedure |
Valve replacement |
|