About this trial
Valves will be taken from hearts donated by organ donors, and implanted into patients who need a new heart valve.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients requiring aortic, pulmonary, mitral or tricuspid valve replacement.
Pediatric patients 30 days or older and < 18 years, and adult patients 18-50 yrs.
Insufficient options are available for valve replacement
Discussion with patient /family - option for durable valve rather than traditional prosthesis
Disqualifiers
Age < 30 days
Irreversible multisystem organ failure; or additive effects of the multiple systems affected making transplant survival unlikely
Progressive systemic disease with early mortality (genetic/metabolic, idiopathic, syndromic)
Morbid obesity (BMI>35)
Trial design
Single group
Treatments tested in this trial
Valve transplant
Procedure/SurgeryHeart valves from an organ donor will be transplanted into recipient
Treatment groups
Trial outcomes
Primary outcomes
Valve Regurgitation
Heart valve regurgitation by echocardiogram. The degree of regurgitation is read and quantified by an echocardiologist.
Valve Annulus Growth
Measurement of valve annulus via echocardiogram, CT scan and MRI. This will be quantified by whether or not the annulus continues to increase in size as the subject grows.
Leaflet Growth
Measurement of leaflet height via echocardiogram, CT scan and MRI and reviewed by an echocardiologist. This will be analyzed by whether or not the leaflets continue to grow in size, with the subject.
Secondary outcomes
Ventricular Function
Ventricular function will be visualized using echocardiogram, measured as ejection fraction as well as shortening fraction and will be determined by an echocardiologist. The factors involved will be the symmetrical squeeze of the ventricles, the ejection fraction, ventricular end systolic and diastolic volume with calculation of stroke volume to come to a surrogate of cardiac output.
Survival
The number of patients that survive the initial procedure and long term outcomes.
Sponsors and contacts
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