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Balloon Valvuloplasty or Valvotomy

If you have a narrowed heart valve (stenosis), it may be limiting blood flow, and this could lead to such complications as an enlarged heart. The problem may be treated by open-heart surgery, but another treatment option your physician may recommend is balloon valvuloplasty.

The heart valve valvuloplasty is used when the opening of a heart valve has narrowed. This may occur due to age or to medical conditions that cause calcium deposits to form on the flaps of tissue, the cusps, that form the working parts of the valve.

If you have symptoms of mitral valve stenosis , mitral balloon valvuloplasty is sometimes used as an alternative to surgery. If you have symptoms of aortic valve stenosis , aortic balloon valvuloplasty is sometimes used but generally only if aortic valve surgery is thought to be risky for you or if you have some other serious medical problem that requires treatment prior to when the surgical replacement of an aortic valve could be performed.

Procedure:

Balloon valvuloplasty of the aortic valve is a non surgical procedure in which a guide wire is inserted through a large artery, most often in the groin area. This wire is advanced through your blood vessels to your heart. A catheter (tube) with an elongated balloon at its tip is threaded over the guide wire. When the tip arrives in the opening of the diseased valve, the balloon is inflated. The narrowed valve is thus enlarged, improving blood flow. Sometimes inflation of two balloons is required to enlarge the opening.

Aortic valve balloon valvuloplasty is used in some adult patients who are desperately ill, perhaps even being treated with a mechanical ventilator. It is designed to improve their condition and decrease the risk of the aortic valve operation. It is also sometimes used in patients more than eighty years old who have numerous other serious medical problems, in hopes that their symptoms will improve, even though in most cases the improvement is short lived.

The procedure for mitral valve valvuloplasty is similar except that the balloon-tipped catheter generally is inserted into a vein in the groin area (instead of an artery) and then advanced to the right side of the heart. The catheter is passed from the right atrium, through the common wall shared by the atria, to the left atrium, and then through the mitral valve where the balloon is inflated to widen the valve opening.

What happens after the procedure?

As with any heart procedure, there are risks. However, the result may be an immediate relief of such symptoms as shortness of breath. The hospital stay and recovery are also substantially less, typically only a few days than with open heart procedures.

 

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