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Balloon Mitral Valvotomy Doctors in Salt Lake

Balloon Pulmonary Valvotomy

Best Doctors for Balloon Mitral Valvotomy Treatment in Dhakuria

Balloon Pulmonary Valvotomy, or Valvuloplasty, is a procedure to treat pulmonary stenosis, which involves the narrowing of the pulmonary valve between the right ventricle and the pulmonary arteries. This intervention aims to widen the narrowed valve and improve blood flow from the heart to the lungs. The pulmonary valve is responsible for carrying blood to the lungs. In pulmonary stenosis, the right ventricle does not get empty and causes excess strain on the heart, leading to heart failure. Pulmonary Valvotomy is a minimally invasive procedure that involves the use of a thin, flexible tube (catheter) with a balloon at its tip.

FAQ's

Balloon Pulmonary Valvotomy (BPV) is needed to alleviate the symptoms associated with pulmonary stenosis, such as breathing difficulties, fatigue, fainting, chest pain, and bluish discolouration of the lips and fingers.

 

There are two factors responsible for pulmonary stenosis: Genetic and acquired.

  • Genetic pulmonary stenosis is seen in children who are born with this defect.
  • Acquired-type pulmonary stenosis is seen in adults who get this condition due to:
    • Rheumatic heart disease (valves get damaged due to rheumatic fever, which is an inflammatory disease affecting the tissues, especially the heart)
    • Bacterial endocarditis (infection of the endocardial surface of the heart)
    • Radiotherapy procedures for the chest
    • Gut cancers

Before Balloon Pulmonary Valvotomy, your healthcare provider will give you specific instructions to follow. This typically involves fasting the night before the surgery and arriving at the hospital with an empty stomach. If you are taking anticoagulants or blood-thinning medications, you may need to temporarily discontinue them. Upon arrival, you will likely receive a sedative to help you relax. Additionally, various diagnostic tests such as an ECG, cardiac echo, chest X-ray, complete blood count, heart catheterization, CT scan, MRI, and renal function test may be conducted to assess your overall health and determine the suitability for the procedure.

  • You will be given a sedative agent to make you feel relaxed. 
  • The healthcare professional will make a small cut (incision) in the groyne to reach a blood vessel.
  • A contrast dye is also inserted so that it guides the catheter to reach the mitral valve.
  • When this tube reaches the mitral valve, the balloon will be inflated by the doctor.
  • This will open the mitral valve and increase its size, allowing proper blood flow.
  • The balloon will deflate once the valve is sufficiently opened. Subsequently, the healthcare provider will extract the balloon and catheters.
  • The tube is then removed, and the site of insertion is closed with stitches or surgical glue.
  • The incision made in the groyne will be closed. A dressing will be applied.

Following the procedure, you'll be moved to a room for recovery. You may need to lie straight for some hours after the procedure. The doctor will advise you to drink sufficient water so that the contrast dye may flush out. You might undergo additional testing, including an Echocardiography or an Electrocardiogram. You may be able to go home the same day after the procedure or the next day.

The time taken to recover after BPV depends on several factors, like the individual’s immunity and preexisting conditions. Initially, some people can return to their normal routine within a week after the procedure. You will be advised to not engage in heavy exercises or workouts for some weeks after the surgery has been done. You will be told to follow up with your healthcare provider.

There are very few complications associated with BPV, as it is not a major surgical procedure.

Re-narrowing of the pulmonary valve: Though the results of a Valvuloplasty can last for 10 to 20 years, this procedure is not a permanent cure for pulmonary valve stenosis. The pulmonary valve can get narrowed again, and you may need medication, a second Valvuloplasty, or Heart Valve Replacement Surgery.

  • Pulmonary valve regurgitation is a rare condition in which the pulmonary valve fails to close properly, leading to the backflow of blood into the right ventricle
  • Bleeding
  • Stroke 
  • Contrast dye allergy
  • Irregular heart rhythm
  • Blood clots
  • Pain at the catheter insertion site
  • Valve rupture requiring open heart surgery
  • Swelling in the limbs or abdomen
  • Radiation exposure through X-rays during the procedure can be harmful to pregnant women

Alternative treatments for Balloon Pulmonary Valvotomy include medications and Surgical Valve Replacement. However, the choice of treatment depends on various factors, such as the severity of damage to the valve, the metabolic conditions present, and the overall health of the individual. Your healthcare professional will diagnose and make the treatment plan accordingly.

Contact your doctor if you experience any of the following: chest pain, persistent fever unresponsive to medication, fainting, nausea or vomiting, or bleeding at the catheter insertion site.

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