Heart surgery showdown: which repair works best for kids with leaky valves?
NCT ID NCT07284212
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This completed study followed 427 children under 14 who had surgery for mitral regurgitation (a leaky heart valve) at eight hospitals in China. Researchers compared two surgical repair strategies to see which led to better outcomes, like survival and avoiding repeat surgery. The goal is to provide real-world evidence to guide surgeons in choosing the best approach for each child.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could help surgeons choose the best repair technique for children with mitral regurgitation, potentially improving long-term heart function and reducing the need for repeat surgeries.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly test a new drug or device. The results may not apply to all children, especially those with other heart conditions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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427 people
The number who actually took part.
- Started
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Mar 2020
- Finished
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Sep 2025
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Children younger than 14 years with moderate or greater mitral regurgitation undergoing surgical repair at eight representative congenital heart disease centers in China. Eligible patients must not have undergone prior mitral valve surgery and must meet the predefined inclusion and exclusion criteria. The study aims to prospectively evaluate surgical outcomes, durability, and predictors of repair from March 2020 to December 2024, with follow-up completed through September 2025.
- Ages
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Up to 14 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \< 14 years * No prior mitral valve surgery * Preoperative echocardiography demonstrating moderate or severe mitral regurgitation Exclusion Criteria: * Concomitant cardiac malformations unable to be corrected simultaneously * Moderate or severe mitral stenosis * Ischemic mitral regurgitation * Severe leaflet dysplasia precluding adequate coaptation * Connective tissue disorders(e.g., Barlow's disease, Marfan syndrome) * Any type of cardiomyopathy * Single ventricle physiology or common atrioventricular valve
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Pediatric Cardiac Surgery Center, Fuwai Hospital
Beijing, Beijing Municipality, 100037, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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