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Balloon Mitral Valvotomy Doctors in Mukundapur

Balloon Mitral Valvotomy

Best Balloon Mitral Valvotomy Doctors in Mukundapur


Balloon Mitral Valvotomy
The mitral valve is a valve with two flaps in the heart that lies between the left atrium and the left ventricle. Sometimes, the valves don't open or close properly, disrupting the blood flow through your heart to your body and also causes blood to leak backward to the left atrium. The valve may also be narrowed. Balloon Mitral Valvuloplasty is a procedure used to widen the mitral valve to allow blood to flow more easily through the heart.

Why choose Manipal Hospitals
Each patient who steps into our portals receives personalised diagnosis and customised treatment in an atmosphere of kindness and concern. Our multidisciplinary cardiac team consisting of cardiologists, interventional specialists and surgeons are the best in their league with years of experience in performing the most demanding of cardiac surgeries. Our cardiac centre is perfect for the complete range of cardiac services under one roof including interventional procedures to clear blockages in the heart.

Solutions
A balloon mitral valvotomy is the preferred treatment for mitral valve stenosis. It is usually recommended if you also have moderate to severe stenosis and if most of your mitral valve is a normal shape. A catheter is inserted into the artery in the groin or arm. When the tube reaches the narrowed mitral valve, a balloon device located on the tip of the catheter is immediately inflated. The narrowed or fused mitral valve leaflets are separated and stretched open as the balloon presses against them. This process increases the size of the mitral valve opening and allows more blood to flow from the left atrium into the left ventricle.

Complexities
Risks could include - mitral valve regurgitation where the valve might be damaged so it doesn't close normally and allows blood to leak backward in the heart; Restenosis where the valve can become narrow again after 10 to 20 years and you may require valve replacement surgery.

Success of BMV
Around 95 out of 100 patients who are treated with a balloon valvotomy have successful outcomes and almost immediate relief from persistent symptoms. While balloon valvotomy doesn't cure the condition or make the valve normal, it helps the valve function normally to let blood flow through the heart. 

Infection control protocol
All patients get the same care and privileges, regardless of whether it is a minimal invasive procedure or an open heart surgery. In fact, infection control tops our list of priority treatment protocol at all times, making Manipal Hospital the best in its fraternity.
 

FAQ's

Ballon Mitral Valvotomy is a preferred intervention for patients with the following parameters: 

  • Severe mitral narrowing or stenosis, especially less than 1.5 square cm

  • Mitral valve calcification 

  • Those exhibiting symptoms of mitral valve stenosis, such as irregular breathing, oedema, irregular cardiac rhythm, chest discomfort, lung fluid build-up, dizziness, abnormal heartbeat, and haemoptysis (the presence of blood when coughing)

  • The patient should not have any blood clots or thrombus in the left atrium or the absence of mitral regurgitation, a condition characterised by the incomplete closure of the mitral valve, which causes the blood to leak or flow backwards.

  • Older patients, or those at high risk, such as those with existing heart conditions or other co-morbidities

Specialists usually diagnose mitral valve stenosis by evaluating symptoms associated with the condition, along with a physical examination, where our specialist will detect heart murmurs using a stethoscope. Severe cases of the condition may produce more than one heart murmur. Based on your initial evaluation and discussion, our specialists may recommend undergoing one or more diagnostic tests to determine the stage of your condition, some of which include an echocardiogram, electrocardiogram, cardiac catheterisation, or chest X-rays.
 

General instructions you should prepare for undergoing the Ballon Mitral Valvotomy procedure involve:

  • Refraining from eating food or drinking water after midnight before the day or at least 8 hours before the procedure

  • Informing our specialist regarding existing co-morbidities and medications. You may be advised to avoid medications like blood thinners before the procedure for a certain time to avoid complications.

  • Notifying our specialist of any past allergies due to anaesthesia or medications

  • Informing our specialist in case you are pregnant or have any cardiac implantation devices

  • Planning your transportation to and from the hospital. It is recommended to have a family member drive you home after the procedure due to possible anaesthesia or medication effects

  • Arranging your comfort items and clothing for your stay at the hospital

  • Removing any jewellery or metallic objects during the day of your procedure

  • Addressing any questions or worries with our specialists, which they will promptly resolve

Some complications or risks associated with Balloon Mitral Valvotomy include:

  • Haematoma, bleeding, or infections around the catheter insertion site

  • Cerebrovascular damage, such as stroke

  • Mitral regurgitation

  • Cardiac tamponade is identified as the accumulation of abnormal amounts of fluid in the pericardiac sac, leading to compression of the heart and decreased cardiac output

  • Allergy induced by contrast dyes

  • Irregular cardiac rhythm or arrhythmia

  • Valve rupture that may necessitate Open-heart Surgery

  • Ventricular rupture

  • Presence of atrial septal defect detected by colour Doppler imaging

  • Damage of blood vessels due to multiple puncturing attempts

Since Balloon Mitral Valvotomy is a minimally invasive procedure, the surgery usually takes around 1 hour, although this can vary depending on the severity of the condition and other individual factors. Moreover, you may require a day of hospitalisation after the procedure. Based on your condition, our specialists will inform you regarding the expected duration of the hospital stay and recovery post-procedure. 
 

You may require bed rest after the surgery at the hospital, which might take two to six hours based on your condition. Pain management medications will be given to address any discomfort or pain that may arise post-procedure. Moreover, you are encouraged to drink plenty of water or fluids to flush out the contrast dye. Additionally, specialists may advise you to immobilise your leg for a certain period if the catheter is inserted near the groin area. Nurses will assist you in walking or if you need to go to the toilet. Our specialists will notify you with personalised post-care instructions during your discharge.
 

The expected recovery time usually depends on factors such as the complexity of the condition and the patient’s general health. Full recovery post-procedure might take about 8 weeks. You should be able to return to work within a week after undergoing a Balloon Mitral Valvotomy. However, you may need more time to recover if your work is strenuous and physical. You will also be advised of restrictions on certain activities, such as swimming, intensive exercises, and habits of smoking and drinking. In the event of symptoms that may occur post-procedure, you are required to seek medical attention to prevent any complications. 
 

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