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CompletedNCT05836363Updated May 1, 2023

Fate at Long-term of Mild to Moderate Bicuspid Aortic Valve Disease Left Untreated at the Time of Supracoronary Ascending Aorta Replacement

An observational study in Bicuspid Aortic Valve and Ascending Aorta Aneurysm, sponsored by Michele De Bonis. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-05-01.

Sponsored by Michele De Bonis · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
75
Ages
18 Years and older
Sex
All
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Study summary

Aortic valve bicuspid disease is the most common congenital heart disease. It affects 0.5-2% of the population and is associated with an increased risk of developing aortic or ascending aortic valve complications.

There is no agreement regarding the opportunity for a "prophylactic" simultaneous aortic valve replacement in the case of mild or moderate aortic valve disease in the bicuspid valve, in patients with an indication for replacement of the ascending aorta due to an aneurysm involving its supra-coronary tract.

The aim of this study is to evaluate the long-term evolution of mild and moderate aortic valve disease in untreated bicuspid valve during supracoronary ascending aortic replacement surgery at our institution.

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Conditions studied

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In context

Aortic Valve Disease

231 studies on the registry are indexed under Aortic Valve Disease; 76 are open to participants now.

This study's enrollment of 75 is below the median of 200 across 112 observational studies indexed under Aortic Valve Disease.

Browse Aortic Valve Disease studies →

Lead sponsor

Michele De Bonis is the lead sponsor of 21 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients with bicuspid aortic valve and supra-coronaric ascending aorta aneurysm requiring ascending aorta replacement. Aortic valve regurgitation is no more than moderate, so it is left untreated following the guidelines.

Inclusion criteria

  • Adult patients;
  • Bicuspid aortic valve;
  • Presence of ascending aortic aneurysm in the supra-coronary tract treated with replacement using a prosthetic tube between 2002 and January 2020;
  • Untreated aortic valve disease of no more than moderate degree (\<2+) at the time of ascending aorta surgery.

Exclusion criteria

Exclusion Criteria:

  • Emergency/urgency procedures;
  • Presence of aneurysm extending to the aortic arch or aortic root, with indication for aortic root or aortic arch surgery;
  • Tricuspid aortic valve tricuspid;
  • Absence of aortic valve disease;
  • Presence of moderate-severe or severe aortic valve disease, with indication to a concomitant aortic valve replacement.
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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
75 participants (actual)
Patient registry
No

Interventions

  • ProcedureAscending aorta replacement

    The aneurysmatic ascending aorta tract is replaced with a tubular dacron prosthesis

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What researchers measure

Primary outcomes

  1. Aortic valve regurgitation

    Time frame: Through study completion, a minimum of 6 months

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Study locations

1 site
  • IRCCS Ospedale San Raffaele
    Milan, 20132, Italy
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05836363
Lead sponsor
Michele De Bonis
Responsible party
Michele De Bonis (Chief of Cardiac Surgery of the Advanced and Research Therapies, Ospedale San Raffaele) — Sponsor-investigator
First posted
May 1, 2023
Start date
Dec 4, 2020
Primary completion
Dec 9, 2020
Completion
Dec 9, 2020
Last update
May 1, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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