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Balloon Mitral Valvotomy, also known as Percutaneous Balloon Mitral Valvuloplasty (PBMV) or Percutaneous Transvenous Mitral Commissurotomy (PTMC), is a minimally invasive procedure used to treat mitral stenosis. It involves inserting a thin, flexible catheter through the groyne femoral vein, and guiding a balloon to the narrowed mitral valve within the heart. The balloon is then inflated to widen or separate the fused mitral valve leaflets, allowing better blood flow from the left atrium to the left ventricle. Balloon Pulmonary Valvotomy in Kolkata effectively reduces symptoms like shortness of breath and fatigue by expanding the narrowed valve opening, improving cardiac function, and enhancing the quality of life for patients with mitral valve narrowing.
A narrowing of an aperture, like a heart valve, is called stenosis. The forward flow of blood from the left atrium to the left ventricle is restricted by mitral valve stenosis. A backlog of blood and fluid in the lungs might result from this.
Congenital children who are born with it and adults may get this illness later in life as a result of the following conditions.
The signs and symptoms of stenosis, which refers to the narrowing of a bodily passage or valve, vary depending on the affected area. Here are common types of stenosis and their associated signs:
Since the valve becomes inflamed during rheumatic fever, mitral stenosis typically occurs years after a person has experienced the illness. ankle, foot, or abdominal swelling along with palpitations in the heart can be noted.
Under the following conditions, Balloon mitral valvotomy is required.
Balloon mitral valvotomy, a catheter-based technique, carries a lower risk of complications compared to open heart surgeries like commissurotomy or valve replacement. Valvuloplasty may result in bleeding or infection, the patient must disclose any pregnancy to a healthcare professional. Both valvuloplasty and radiation exposure from X-rays during the treatment are quite risky for expectant mothers and their foetuses.
The patient should abstain from eating and drinking the night before the procedure to prepare. It could also be essential to temporarily stop taking any anticoagulants or blood thinners. The patient must remove any detachable retainers on the day of the procedure. Patients usually stay conscious during the procedure.
During the valvotomy procedure, the medical professional will carry out the following steps:
Once the procedure is over, the patient will move to a recovery area. If the catheter goes through their groyne, they will need to wait a few hours before bending their leg. They may spend two to six hours in bed, depending on a variety of conditions. The patient has to consume a lot of water to flush the contrast dye from their body. When they are on bed rest, they will need to use a urinal or bedpan. A few hours after a valvotomy, individuals are usually able to move and stand. The majority of people return home the next day.
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