Balloon Valvotomy For Mitral Valve Repair

Your heart's four valves (pulmonic, tricuspid, aortic,normally recommend medications to help regulate
and mitral) help regulate the flow of blood as itthem. These might include diuretics to help control
moves between the atria, ventricles, and lungs.fluid buildup in the lungs. Anticoagulants may be
These valves are comprised of leaflets that open andadministered to reduce the blood's clotting ability. If
close based on the contractions of the individualthe patient is undergoing surgery, antibiotics might be
chambers. For example, your mitral valve (MV)prescribed to help prevent the onset and spread of
regulates blood flow between the left atrium and leftinfection.
ventricle. When the atrium contracts, the leaflets (orIt's worth emphasizing that drug therapy will not cure
flaps) open to allow blood to flow into the ventricle.stenosis. Medications merely help to control
When all of the blood has left the atrium, the flapssymptoms. Resolving a stenotic mitral valve requires
close to prevent backflow.a more invasive approach.
One of the disorders that can affect the MV is aOverview Of Balloon Valvotomy
condition called stenosis. This article will describe theBalloon valvotomy is one of the most common ways
disorder and explain some of the strategiesto treat mitral stenosis. It is a nonsurgical technique
employed to address it. In some cases, medication isthat uses a catheter equipped with a tiny balloon on
sufficient. However, when drugs are unable to reduceits tip. The catheter is inserted in the groin and guided
the symptoms, a procedure called balloon valvotomythrough a blood vessel toward the heart. It enters
may be appropriate.the heart's right atrium. The doctor will make a tiny
Mitral Stenosis Explainedhole in the septum (the wall that separates the
A stenotic mitral valve is one that is narrowed to theheart's left and right sides) and thread the catheter
point of limiting blood flow between the left atriumthrough it toward the mitral valve.
and left ventricle. This narrowing is due to the twoOnce the balloon is positioned between the leaflets,
leaflets having become stiff or hard. Most patientsthe doctor will inflate and deflate it multiple times.
who have a stenotic MV suffered rheumatic feverThis gradually widens the gap between them. After
when they were young. The fever caused infectionthe doctor is satisfied the MV is wide enough, the
near the valve, which triggered an attack from theirballoon-equipped catheter is withdrawn. The insertion
immune system. This attack, in turn, caused thesite is closed and bandaged, and the patient is moved
leaflets to stiffen or harden.into a recovery unit.
Because blood is prevented from flowing freely, itPostoperative Recovery
remains within the atrium. This causes blood to backTo prevent bleeding, the patient is required to lie on
up into the lungs, which can eventually lead to hearthis or her back for several hours. An echocardiogram
failure, atrial fibrillation, blood clots, and congestion.is taken either that day or the following morning in
Patients who suffer from a stenotic MV oftenorder to provide an image of the newly-widened
experience dizziness, chest pain, breathing difficulties,mitral valve. This image allows the doctor to
and swelling within the feet.determine whether the procedure was successful (i.e.
Noninvasive Treatment: Medicationsthe MV is sufficiently wide to allow blood flow).
If the patient's symptoms are mild, doctors will