Balloon Mitral Valvuloplasty Treatment

An operation called balloon valvuloplasty is used to open heart valves that are stiff or narrowed, like the aortic or mitral valves. Other names for the procedure include balloon valvotomy. A tiny tube called a catheter is inserted via a blood vessel in the groin to replace the valve rather than undergoing open heart surgery to replace it. Compared to standard surgery it is less invasive.

Doctors team uses a specifically designed balloon attached to the tube to enlarge the constricted or blocked valve. The mitral valve modulates blood flow from the lungs to the body. This is located within the heart’s left ventricle and left atrium. When this valve narrows or becomes stenosed, blood flow is interfered with. Various medical problems may result this condition in individuals.

Who Need this Treatment?

• Individuals with mitral valve narrowing, which limits heart blood flow.
• Shortness of breath, fatigue, or chest pain are symptoms experienced by individuals.
• Health hazards or age are the main reasons that prevent patients from undergoing open-heart surgery.
• Women who require valve treatment during pregnancy may benefit from this less intrusive procedure.
• Tolerant patients who are awaiting a more permanent option, such as valve replacement surgery, may benefit from this therapy to alleviate their problems temporarily.

Risk factors of BMV

Like any medical process, this BMV has some risks and other problems, even though it is generally regarded as safe and effective.

• Valve rupture: In certain cases, balloon dilation can result in a crack or break in the valve leaflets.
• Blood Clots or lumps: There is a possibility of formation of clots in the heart that increases the risk of stroke and other complications.
• Possibilities of infection: The area of catheter insertion or the heart itself may become infected as is possible with any invasive procedure.
• Restenosis: In certain situations, the valve narrowing may return with time and call for additional care.
• Arrhythmias: Irregular cardiac rhythms may occur during or after the process.
• Regurgitation: Excessive valve straining may cause some regurgitation or leakage.

Advantages of the BMV Treatment

• Improved blood flow between the heart chambers is made possible by the procedure, which widens the narrowed mitral valve.
• Compared to open heart surgery procedures, its replacement involves fewer incisions and less recovery time, making it an invasive activity. 
• Increases the survival rate of the people, by easing symptoms, such as fatigue, chest pain, etc.
• This is the greatest option for people who are not fit for other types of surgery due to their pregnancy, age or several other health issues.
• Patients usually recover faster from this kind of surgery and spend less time in the hospital than they would after traditional heart surgery. 

The BMV Replacement Procedure

This difficult activity aims to treat mitral stenosis in which the bicuspid valve narrows and restricts blood flow. Here is a quick rundown of the operation steps from beginning to end. 

Pre-Procedure

• Consultation and Evaluation: Patients who have heart diseases want to search for a qualified heart surgeon to discuss their symptoms and to have tests such as echocardiograms done to assess the extent of mitral stenosis and heart function. Blood thinners are among the medications that persons may need to stop taking before the procedure.
• Pr-operative planning: It is advised that patients fast for a few hours prior to the procedure. During the operation, a IV line is set up to deliver medication and fluids. 

During Procedure

• Anesthesia – In order to help the patient relax sedation may be administered. Additionally a local anesthetic drug is used to numb the area where the tube will be inserted.
• Insertion of Catheter – A tiny slit is made usually in the groin to reach a blood vessel. During fluoroscopy, a thin tube, offering flexibility, is used to enter a blood vessel and reach the heart.
• Balloon inflation – A deflated balloon is placed at the tube’s end. It is positioned across the thin mitral valve when the balloon reaches towards it. Then, the balloon is inflated, which widens and expands the constricted opening of the valve to improve blood flow.
• Analysis – The doctors use echocardiography to know the outcomes of balloon inflation. It also confirms that the valve is functioning properly and makes sure the opening is large enough. 
• Removal and Deflation – In the final step, the tube and the deflated balloon are removed.

Post Procedure

• Under-observation – After being moved to a recovery area, patients are kept under close monitoring for a number of hours. Blood pressure and heart rate are the main signs that are routinely monitored.
• Postoperative care – Sometimes patients may feel some irritation, pain, or swelling at the operated place. Drugs for pain management can be given as needed. A few weeks of no intense exercise are usually required before returning to normal activities as instructed by the physician.
• Follow up – Follow-up consultations are planned to track the patient’s heart health and recovery. To evaluate the procedure’s efficacy and look for any complications, echocardiograms may be carried out.