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Balloon Mitral Valvotomy in Kolkata

Balloon Pulmonary Valvotomy

Balloon Mitral Valvotomy in Kolkata

A Balloon Pulmonary Valvotomy is a minimally invasive procedure to widen the narrowed pulmonary valve. As one of the four heart valves facilitating blood flow between chambers and preventing backward flow, the pulmonary valve allows blood from the right heart to reach the lungs. Positioned between the right ventricle and the pulmonary artery, a significant blood vessel supplying the lungs, it plays a crucial role in oxygenating blood. Balloon Pulmonary Valvotomy in Kolkata is vital for delivering oxygen-rich blood to essential organs throughout the body, ensuring optimal physiological function and overall health. Therefore, expanding the constricted pulmonary valve is fundamental in improving cardiac function and enhancing overall well-being. 

 

FAQ's

One of the prevalent forms of congenital heart disease, accounting for 8% of cases, is ventricular pulmonary stenosis (PS). They might vary from the unintentional discovery of a murmur in a patient who is asymptomatic to dyspnea upon exercise, fatigue, or cyanosis in a baby with acute blockage. In all age groups, balloon pulmonary valvotomy (BPV) is the recommended strategy for severe valvular PS. During balloon pulmonary valvotomy, older children with severe valvular PS, presenting as catastrophic stenosis of the infant, have unique difficulties.
 

When conditions like pulmonary stenosis damage the pulmonary valve and thicken or calcify the valve leaflets, preventing the valve from opening properly and allowing blood to flow through it, a valve replacement may be required. Due to this disorder, the right ventricle is unable to drain completely, which puts more strain on the heart and may eventually end in heart failure. Hypoxia, which is defined by low blood oxygen levels, can also result from decreased blood flow to the lungs. Breathing difficulties, fatigue, ankle oedema, fast breathing, fainting, chest discomfort, and cyanosis are signs of severe pulmonary stenosis and should be treated to restore heart function and reduce symptoms.
 

   There are several steps that we need to follow such as:

  • Diagnosis of pulmonary stenosis severity involves clinical, ECG, and echo-Doppler data.
  • Cardiac catheterization, selective cineangiography, and Balloon Pulmonary Valvuloplasty are arranged for moderate to severe cases.
  • Patients/parents receive detailed explanations and provide informed consent due to acute complications.
  • The percutaneous femoral venous route is the preferred entry site for BPV, with alternative sites if necessary.
  • Hemodynamic evaluation includes measuring RV and pulmonary arterial pressures.
  • Cineangiography confirms PS and assesses right ventricle size.
     

A balloon pulmonary valvotomy is a procedure to open a narrowed pulmonary valve, which can help improve blood flow from the heart to the lungs. During the procedure, a doctor inserts a thin tube (catheter) with a deflated balloon on its tip into a blood vessel in your groin or arm. Using X-ray guidance, the catheter is carefully threaded up to your heart and into the narrowed valve. Once in place, the balloon is inflated to stretch open the valve, improving blood flow. Afterwards, the balloon is deflated and removed. The procedure is usually done under local anaesthesia with sedation, so you'll be awake but relaxed and pain-free. Recovery is typically quick, and most people can go home the same day.
 

  • Bleeding from the puncture site, and later a hematoma will form.
  • Infection at the location of the puncture.
  • Pulmonary valve damage.
  • An allergy to contrast might result in a serious emergency.
  • Kidney damage brought
     

As pulmonary balloon valvotomy is a minimally invasive procedure, it offers several advantages over other therapy approaches. The length of the hospital stay is minimal, anaesthesia and the expense are significantly lower. There are no side effects from general anaesthesia, and healing happens more quickly. There will no longer be any risk of organ failure, heart attacks, strokes, or death associated with major open-heart surgery. However, in the long term, few individuals may get restenosis of the valve, and the surgery may be easily performed on these patients the next day.
 

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