Balloon Valvuloplasty (BAV, BPV, BMV)

Balloon valvuloplasty, also known as balloon valvotomy, is a minimally invasive procedure used to treat narrowed heart valves, a condition known as valvular stenosis. It is typically performed on one of three heart valves: the aortic valve (balloon aortic valvuloplasty or BAV), the mitral valve (balloon mitral valvuloplasty or BMV), or the pulmonary valve (balloon pulmonary valvuloplasty or BPV). The goal is to widen the narrowed valve and improve blood flow.

Procedure

Access point: The procedure begins with the insertion of a thin, flexible catheter into a blood vessel, usually in the groin (femoral artery or vein) or arm (radial artery).

Catheter guidance: The catheter is guided through the blood vessel to the heart, and then to the affected valve under imaging guidance such as fluoroscopy.

Balloon inflation: Once the catheter is positioned at the narrowed valve, a balloon at the tip of the catheter is inflated. This widens the valve and improves blood flow.

Balloon deflation and removal: After the valve is sufficiently widened, the balloon is deflated and the catheter is removed.

Indications

Aortic stenosis: Narrowing of the aortic valve, leading to restricted blood flow from the heart to the body.

Mitral stenosis: Narrowing of the mitral valve, affecting blood flow between the left atrium and left ventricle.

Pulmonary stenosis: Narrowing of the pulmonary valve, impacting blood flow from the right ventricle to the lungs.

Benefits

Symptom relief: Improved blood flow can relieve symptoms such as shortness of breath, chest pain, and fatigue.

Minimally invasive: The procedure is less invasive than open-heart surgery, allowing for quicker recovery times.

Temporary solution: It can serve as a bridge to more definitive treatment such as valve replacement, especially in patients who are not immediate candidates for surgery.

Risks

Bleeding: Potential at the access point or within the heart.

Infection: Risk associated with any catheter-based procedure.

Valve damage: The valve may be injured or become leaky as a result of the procedure.

Re-narrowing: The valve may re-narrow over time, requiring additional treatment.

Outcomes

Balloon valvuloplasty can provide immediate and significant symptom relief, but the effects may be temporary. In some cases, the valve may re-narrow over time, necessitating further intervention such as valve replacement. A cardiologist will monitor the patient's progress and guide future treatment options based on individual patient needs.

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