Balloon Aortic Valvuloplasty
Balloon aortic valvuloplasty is a procedure in which the aortic valve is repaired by widening the narrowed valve to improve blood flow. A valvuloplasty is done with the help of a balloon catheter which is placed in the aortic valve which has narrowed down due to calcium buildup. Balloon aortic valvuloplasty is used as a bridge or treatment option for those patients who do not require major heart surgery.
A Balloon Valvuloplasty is also often known as a Vulvulotomy or a Voluotomy. This is a procedure which is used to widen a heart valve that has been narrowed. This is usually done to the aortic valve, and the procedure is generally called a Balloon Aortic Valvuloplasty. The Ballooning effect is used to create a widened opening in the aortic valve to allow improved blood flow to the heart.
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Causes of balloon aortic valvuloplasty:
The aortic valve is among the four valves of the heart, between the left ventricle and the aorta, the largest blood vessel in your body. The aortic valve opens and closes in a steady rhythm to circulate oxygen-rich blood into the aorta. However, sometimes the valve might not open and close properly, and because of which the heart muscles have to work harder. Stenosis in simple words is the narrowing of the leaflets or cusps due to thickening or scarring of your valve that lets a small amount of blood flow from the left ventricle to the aorta to reach the body.
A few causes for aortic valve stenosis are:
- Calcium buildup
- Heart defect from birth
- Rheumatic fever
Aortic valve stenosis affects both young and adults. People with mild aortic valve stenosis don’t usually feel any symptoms. It takes time for the signs to come to notice and even a weakening heart can be overlooked. For patients with serious cases, some of the symptoms that should be noted are:
- Shortness of breath
- Tightness or chest pain
- Fatigue
- Feeling dizzy or lightheaded
- Heart murmur
- Heart palpitation (pounding heart)
Balloon aortic valvuloplasty is among the few treatments opted for curing aortic valve stenosis instead of surgeries.
Benefits of balloon aortic valvuloplasty:
- Shorter recovery time than other surgeries
- Delay chances of surgeries for a few years
- Can show results as good as surgical replacement or repair
Before Procedure
- Your complete medical and surgical history Mentioned
- The Adviser will explain the process to you
- Inform if you’re allergic to or are allergic to any medications, or have a history of bleeding ailments
- You’ll have to fast overnight prior to the process.
- Inform the doctor If you’re pregnant or suspect that you might be
- The doctor may discontinue some of your drugs or change a few doses. Let your physician know of all medications and supplements that you’re taking.
- You’ll Be required to undergo Regular tests Prior to the Process
During Procedure
- The process takes approximately 1-2 hrs
- (IV) the line is added and vitals will be monitored throughout the process.
- A local anesthetic will be injected into the skin in the site, you will be given sedatives to assist unwind.
- Your health care provider will insert introducer, through an artery in the arm or groin
- After that, a thin flexible tube called a catheter is inserted through the introducer and threaded to the heart.
- When the catheter is in place, your physician will inject contrast dye to check at the region
- Once the tube reaches the narrowed heart valve, a balloon at the end of the tube is inflated. Your physician may inflate and deflate the balloon several times to open the valve.
- The balloon widens the valve opening.
- When the valve is opened, the physician deflates the balloon and eliminates the catheter.
- The physician will hold pressure on the insertion site. When the bleeding has stopped, a very tight bandage will be placed on the site.
After Procedure
You’ll be changed to a recovery room for observation.
- Bed rest can change from 2 to 6 hours
- You may feel nostalgic when the catheter has been inserted. This usually goes away in a couple of days.
- You Might Be given medication for pain or distress
- You can resume your normal diet after the process
- It’s important to keep the insertion site clean and dry
- It’s crucial to make some lifestyle adjustments to keep your heart healthy, for example, Quit smoking.
- Follow a heart-healthy diet and restrict sodium.
- Be active. Consult your physician on what degree and kind of exercise are best for you. You might have to steer clear of intense action.
- Stay at a healthy weight, or eliminate weight if you want to.
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Q: Where are aortic valves located?
Balloon Aortic Valvuloplasty is also called BAV. This procedure helps in stretching the aortic valve and improving the blood flow. This procedure has been performed with the help of a catheter and allows the balloon to open a narrowed valve. Balloon Aortic Valvuloplasty is used for those patients who do not require major heart surgery.
Q: What is the function of valves?
A: The valves open and Shut thus regulating the Blood Circulation from one room to another.
Q: Where is the procedure performed?
A: Valvuloplasty is performed in the Cardiac Catheterization Laboratory.
Q: How long does the procedure of balloon valvuloplasty take?
A: Valvuloplasty generally takes approximately 1-2 hours.
Q: Why is Balloon Valvuloplasty not recommended for older adults?
A: Balloon valvuloplasty isn’t too powerful in older adults because of restenosis since the valve becomes narrowed within 6 to 12 weeks following this procedure.
Q: Why is it important to inform the doctor if you are pregnant or suspect pregnancy?
A: Radiation exposure during pregnancy can cause birth defects, therefore to protect against a possibility of injury to your fetus you must notify the doctor if you’re pregnant or suspect pregnancy.
Q: What are the warning signs of infection to be kept in mind after a procedure?
A: The warning signs are:
- Fever
- Increased pain, redness, swelling, or bleeding or another drainage from the insertion site
- Chest pain or pressure,
- Nausea, profuse sweating, dizziness
- Decreased urination
- Swelling
Q: What is the prognosis of Balloon valvuloplasty?
A: Balloon valvuloplasty is usually an effective remedy for aortic valve stenosis in children, but has very limited efficacy in older adults. In many older adults, the valve becomes flaccid (restenosis) in 6 to 12 months following this procedure.
Q: Is valvuloplasty a permanent solution to aortic stenosis?
A: No valvuloplasty isn’t a permanent alternative. In adults, balloon valvuloplasty can provide temporary relief and enhance heart function, but a lot of times there are opportunities for restenosis, making valve replacement finally vital.
Q: When will I be discharged from the hospital after balloon valvuloplasty?
A: You will probably remain overnight at the hospital following having a valvuloplasty to be detected for any issues following the procedure.
Q: What is aortic stenosis?
A: An aortic sclerosis is a form of valve disorder wherein there’s a slow hardening of the valves because of calcium buildup on the valves, resulting in stiffening of this valve and don’t open all of the ways. This produces a narrowed opening for blood to pass through. This heart needs to work harder to pump blood through this smaller gap.
Q: How is aortic stenosis treated?
A: If you’ve got mild or moderate aortic valve stenosis and your physician will see you frequently for tracking. You will most likely not have surgery before your stenosis is severe. Some young people or pregnant women might possess balloon valvuloplasty to expand the valve opening. In case you’ve got severe stenosis, you likely need a valve replacement. Valve replacement could be carried out with an open-heart operation or even a minimally invasive procedure.
Q: What happens to severe aortic stenosis without any treatment?
A: If you’ve got severe stenosis but do not need to experience therapy you’ve got a high risk of dying suddenly or developing heart failure.
Q: What are the eligibility requirements for a medical visa to India?
A: If you’ve got a valid passport and visa and are looking for medical care in a reputed and recognized hospital in India then you may apply for a medical visa to India. In accordance with 2 attendants that are blood, relatives may accompany the individual under different attendant visas.
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