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Balloon Dilation of Stenotic Valve in Bhubaneswar

Balloon Dilation of Stenotic Valve

Balloon Dilation of Stenotic Valve in Bhubaneswar

The valves present in the heart function as a one-way gateway, ensuring correct blood flow to the heart and preventing any backflow of blood. All 4 valves open and close during contraction and relaxation of heart muscles, allowing continuous entry and exit of blood into ventricles. These include the tricuspid (present between the right atrium and ventricle), pulmonary (present between the right ventricle and pulmonary artery), mitral (present between the left atrium and ventricle), and aortic (present between the left ventricle and aorta). Stenotic valves, characterised by narrowing, occur due to any existing cardiac conditions, such as congenital heart defects or age-related calcifications, and they can arise in any of the four valves. 

Ballon Dilation, also known as Balloon Valvuloplasty, is a minimally invasive procedure commonly employed by specialists to address stenotic valves. Considered an alternative to the Valve Repair or Replacement procedure, Balloon Dilation of Stenotic Valve in Bhubaneswar offers several benefits, such as symptomatic relief and quick recovery. At Manipal Hospitals in Bhubaneswar, Odisha, specialists in the Department of Cardiology consider several parameters to determine eligibility for the procedure, thereby minimising any associated complications and improving patient outcomes. 

 

 

FAQ's

During your initial consultation with a cardiologist, symptoms are discussed, and a detailed medical and family history is obtained for any cardiac or pulmonary diseases. Based on the assessment, diagnostic examinations are performed, such as electrocardiogram (ECG), echocardiogram (ECG), transesophageal echocardiogram (TEE), magnetic resonance imaging (MRI), and chest X-ray. If needed, we may ask you to undergo an interventional diagnostic procedure such as Cardiac Vatheterisation that involves the insertion of the catheter into arteries present in the legs or arms to obtain images of the heart and blood vessels. Several eligibility criteria are then examined to locate the affected valve and assess its severity. A follow-up appointment may be scheduled then to discuss and decide on performing the Dilation procedure, along with its possible complications, events of the procedure, and post-care instructions.

Possible signs or symptoms that may indicate a stenotic valve include:

  • Chest pain

  • Irregular heartbeats or arrhythmia

  • Fatigue or feeling dizzy

  • Hypotension or hypertension, depending on the type of valve disease

  • Oedema

  • Shortness of breath or dyspnea

  • Abdominal pain, particularly seen in those with malfunctioning tricuspid valves

 

General instructions you should follow to prepare for the Balloon Dilation procedure include the following:

  • Inform our specialist of any medications, such as anti-coagulants or over-the-counter medications. You may be advised to refrain from them for a certain period before the procedure.

  • Leave any jewellery or metallic wearables at home during the day of the procedure.

  • Notify our specialists in case of any past allergies induced by the administration of anaesthesia or other medications, any cardiac device implants, such as pacemakers, or if you are expecting.

  • You should fast for at least 8 hours prior to the procedure.

  • You may be told to come in a day before the procedure. Therefore, plan and arrange your transportation and any clothes or comforts for your stay at the hospital.

During the procedure, anaesthesia or sedatives are administered to numb or alleviate discomfort or pain. Several monitors are placed in the room that show your vital signs and the structures of your heart and blood vessels for the procedure. An incision is made to access the blood vessel through the groyne, shoulder, or arm, and a sheath, which is a plastic hollow tube, is inserted into the blood vessel. A catheter with a deflated balloon at the tip is then inserted through the sheath. Contrast dyes are injected, and using fluoroscopy imaging, the catheter is passed through the affected heart valve. The balloon is then inflated to open the narrowed heart valve and then deflated several times. Once the valve is open sufficiently, the catheter is removed, and incisions are sealed with sutures or surgical glues. Our specialist may leave the sheath for 4 to 6 hours if you have any risks of bleeding or to allow any blood-thinning effects to wear off.

Some complications that may arise during or after the Balloon Dilation procedure include:

  • Bleeding or infection at the catheter site

  • Blood vessel damage

  • Allergies due to contrast dye or anaesthesia

  • Arrhythmia

  • Stoke

  • Valve rupture that may necessitate Open-heart Surgery

  • Blood vessel damage

  • Valve regurgitation

Renarrowing of the affected valve

Complete recovery and return to usual activities may take up to eight weeks, although this can vary based on the patient's condition and pace of recovery. You can return to work after a week. However, you may need to rest longer if your job involves manual labour. After the procedure, you will be advised to lie down for several hours to minimise the risk of bleeding and drink plenty of water to flush out contrast dyes. Depending on your condition, you may also be recommended for cardiac rehabilitation to enhance your recovery and strengthen your heart. The effects of the procedure may last for decades. Our specialists will advise you on conducting routine follow-ups to evaluate your progress.

General instructions you should be aware of to speed up your recovery include:

  • Adhering to pain medications and other medicine schedules to manage pain and other co-morbidities

  • Refraining from performing any strenuous exercises for a certain period of time

  • Keeping your incisions clean and dry

  • Seeking medical attention if you notice any symptoms, such as fever and chills, severe pain, swelling, or drainage at the incision site, chest pain, nausea and vomiting, profuse sweating, fainting, or increased weight of more than 3 pounds within a day.

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