Treatment Plan

Best Hospitals for Balloon Valvotomy procedure for mitral/aortic valve stenosis

Treatment Plan

A balloon valvotomy is a minimally invasive procedure to open narrowed down heart valves. The heart valves can get narrowed due to a variety of causes. The narrowing down of heart valves is called stenosis.

The procedure involves the introduction of a small inflatable balloon attached to the end of a catheter to the area of stenosis. Once the balloon reaches the stenosed part of the valve, it is inflated to increase the size.

Balloon valvuloplasty is commonly done to correct the stenosis of aortic, pulmonary and mitral valves.

 

Balloon valvuloplasty is a very safe and effective remedy for correction of congenital or acquired stenosis in children. In a vast majority of cases the condition can be permanently cured by the procedure.

 

In adults, balloon valvuloplasty is an excellent alternative to valve replacement surgery. The procedure is done in those who do not get any relief from medical treatments prescribed for valve defects. By undergoing balloon valvotomy they are also spared the rigors of an open-heart surgery.

Other names for balloon valvotomy are balloon valvulotomy, balloon valvuloplasty, balloon valvoplasty, percutaneous balloon valvuloplasty etc. Balloon valvotomy should not be confused with surgical valvotomy. Balloon valvotomy is a minimally invasive procedure while surgical valvotomy is an open-heart surgical procedure.

   

Balloon valvuloplasty also called balloon valvotomy or balloon valvulotomy is a minimally invasive procedure to treat heart valves that have narrowed down. The narrowing of heart valves is termed as stenosis.

Stenosis can affect any of the four valves of the heart namely the pulmonary, mitral, aortic and the tricuspid valves. Stenosis can be congenital or present at birth or acquired. Acquired causes of stenosis include rheumatic heart disease, calcification of valves etc. In valve stenosis, either the heart valves loses their elasticity, or the leaflets of the valves are placed very close to each other. Either way, the valves fail to function properly, resulting in leakage or backflow of blood while they are closed. This creates various complications in the proper pumping of blood, by the heart.

Balloon valvuloplasty or valvotomy aims to correct the stenosis of valves through a minimally invasive procedure. In minimally invasive procedures there is very little surgical trauma and hence post-operative complications are also comparatively less.

In balloon valvuloplasty, a catheter with an inflatable balloon is introduced into an artery in the groin or arm. The catheter is then threaded through the artery to reach the affected valve. Once the valve is reached, the balloon attached to the tip of the catheter is inflated. This opens the leaflets of the valve. as well as widens its diameter. The balloon is then deflated and inflated again. This process is repeated till the desired results are achieved. The catheter along with the balloon is then withdrawn and the incision in the groin or arm is sutured. This completes the procedure and the patient will be shifted to the recovery room for monitoring.

 

The duration of the entire procedure is between three to four hours. The person undergoing the treatment will have to be in the hospital for about three to four days. Being a minimally invasive procedure there will only be a small wound which will heal fast. Normal activities may be resumed within a week after the procedure. Medications like blood thinners may be prescribed to prevent the formation of any clots. Other instructions prescribed by the doctor should be followed.

 

Balloon valvuloplasty is a procedure with a high degree of success. Almost 90 to 95 % of those who undergo the procedure derive immediate benefits. There will be a drastic relief in the symptoms as well as an improvement in the associated complications of valve stenosis.

 

Balloon valvotomy is a minimally invasive procedure to correct problems of the heart valves like stenosis. It is very effective in treating stenosis of the pulmonary and aortic valves. Stenosed aortic and tricuspid valves respond less better to balloon valvotomy. This is mainly due to the difficulty in accessing these valves through catheterisation.

 

While an open- heart surgery, like valve replacement is the best curative treatment for valve disorders, they may not be suitable for everyone. In such situations a balloon valvotomy, that creates far less surgical trauma is an ideal solution. There will be less chances of blood loss, wound infections, development of arrhythmias etc. which are usually associated with open- heart surgeries.

 

Having said that, balloon valvotomy can also create certain complications. These are usually associated with the dye that is injected during the procedure. Certain people may develop allergic reactions to the dye and people with kidney problems may develop complications while excreting the dye through urine.

Some of the major complications and risks associated with a balloon valvotomy are

·       Damage to the valve- There is a risk of damage to the structure of the valve during the procedure. In such cases emergency valve replacement surgery may be necessary.

·       Development of blood clots- Blood clots may develop in the chambers of the valve during the procedure. The clots may travel to the lungs or the brain to create pulmonary embolism and stroke respectively.

 

Other complications include

 

·       Bleeding from the incision site

·       Hematoma or clotting of blood at the incision site

·       Development of abnormal heart rhythms or arrhythmias

·       Heart attack

·       Damage to the heart structure

·       Infections

 

Some of the major complications regarding the outcome of the procedure are given below.

·       The failure of the procedure- In very rare cases, the procedure may fail to create any noticeable change in the condition. There will be very little symptomatic relief. In such patients, the procedure may have to be repeated or an open- heart surgery may be attempted.

·       Regurgitation of the valves- After the procedure, the flaps of the valves may fail to close properly. This will cause regurgitation or back flow of blood.

·       Restenosis of the valves – For certain people, the valves may get narrowed after some point of time. This condition called restenosis will require a repetition of the procedure or open-heart surgery for correction.  

 

Complications of balloon valvotomy are by far lesser than a valve replacement surgery. The success rate of the procedure is also quite high and especially so in the case of children.

 

In India, balloon valvotomy procedures costs much lesser than what it does in countries like the UK, or the USA. Patients travelling to India for the procedure will need to stay here for about a week or so, so they will need to factor in additional costs such travel fare, hotel stay, food and medications. However, all these costs factored in still makes it much cheaper to get a balloon valvotomy procedure done in India.

The cost of the surgery alone in India would be around 4,900 USD.

Cost (USD) Days in Hospital Days in India
4,900 2 - 3 7 - 10

A balloon valvotomy is a minimally invasive procedure to open narrowed down heart valves. The heart valves can get narrowed due to a variety of causes. The narrowing down of heart valves is called stenosis.

The procedure involves the introduction of a small inflatable balloon attached to the end of a catheter to the area of stenosis. Once the balloon reaches the stenosed part of the valve, it is inflated to increase the size.

Balloon valvuloplasty is commonly done to correct the stenosis of aortic, pulmonary and mitral valves.

 

Balloon valvuloplasty is a very safe and effective remedy for correction of congenital or acquired stenosis in children. In a vast majority of cases the condition can be permanently cured by the procedure.

 

In adults, balloon valvuloplasty is an excellent alternative to valve replacement surgery. The procedure is done in those who do not get any relief from medical treatments prescribed for valve defects. By undergoing balloon valvotomy they are also spared the rigors of an open-heart surgery.

Other names for balloon valvotomy are balloon valvulotomy, balloon valvuloplasty, balloon valvoplasty, percutaneous balloon valvuloplasty etc. Balloon valvotomy should not be confused with surgical valvotomy. Balloon valvotomy is a minimally invasive procedure while surgical valvotomy is an open-heart surgical procedure.

   

Balloon valvuloplasty also called balloon valvotomy or balloon valvulotomy is a minimally invasive procedure to treat heart valves that have narrowed down. The narrowing of heart valves is termed as stenosis.

Stenosis can affect any of the four valves of the heart namely the pulmonary, mitral, aortic and the tricuspid valves. Stenosis can be congenital or present at birth or acquired. Acquired causes of stenosis include rheumatic heart disease, calcification of valves etc. In valve stenosis, either the heart valves loses their elasticity, or the leaflets of the valves are placed very close to each other. Either way, the valves fail to function properly, resulting in leakage or backflow of blood while they are closed. This creates various complications in the proper pumping of blood, by the heart.

Balloon valvuloplasty or valvotomy aims to correct the stenosis of valves through a minimally invasive procedure. In minimally invasive procedures there is very little surgical trauma and hence post-operative complications are also comparatively less.

In balloon valvuloplasty, a catheter with an inflatable balloon is introduced into an artery in the groin or arm. The catheter is then threaded through the artery to reach the affected valve. Once the valve is reached, the balloon attached to the tip of the catheter is inflated. This opens the leaflets of the valve. as well as widens its diameter. The balloon is then deflated and inflated again. This process is repeated till the desired results are achieved. The catheter along with the balloon is then withdrawn and the incision in the groin or arm is sutured. This completes the procedure and the patient will be shifted to the recovery room for monitoring.

 

The duration of the entire procedure is between three to four hours. The person undergoing the treatment will have to be in the hospital for about three to four days. Being a minimally invasive procedure there will only be a small wound which will heal fast. Normal activities may be resumed within a week after the procedure. Medications like blood thinners may be prescribed to prevent the formation of any clots. Other instructions prescribed by the doctor should be followed.

 

Balloon valvuloplasty is a procedure with a high degree of success. Almost 90 to 95 % of those who undergo the procedure derive immediate benefits. There will be a drastic relief in the symptoms as well as an improvement in the associated complications of valve stenosis.

 

Balloon valvotomy is a minimally invasive procedure to correct problems of the heart valves like stenosis. It is very effective in treating stenosis of the pulmonary and aortic valves. Stenosed aortic and tricuspid valves respond less better to balloon valvotomy. This is mainly due to the difficulty in accessing these valves through catheterisation.

 

While an open- heart surgery, like valve replacement is the best curative treatment for valve disorders, they may not be suitable for everyone. In such situations a balloon valvotomy, that creates far less surgical trauma is an ideal solution. There will be less chances of blood loss, wound infections, development of arrhythmias etc. which are usually associated with open- heart surgeries.

 

Having said that, balloon valvotomy can also create certain complications. These are usually associated with the dye that is injected during the procedure. Certain people may develop allergic reactions to the dye and people with kidney problems may develop complications while excreting the dye through urine.

Some of the major complications and risks associated with a balloon valvotomy are

·       Damage to the valve- There is a risk of damage to the structure of the valve during the procedure. In such cases emergency valve replacement surgery may be necessary.

·       Development of blood clots- Blood clots may develop in the chambers of the valve during the procedure. The clots may travel to the lungs or the brain to create pulmonary embolism and stroke respectively.

 

Other complications include

 

·       Bleeding from the incision site

·       Hematoma or clotting of blood at the incision site

·       Development of abnormal heart rhythms or arrhythmias

·       Heart attack

·       Damage to the heart structure

·       Infections

 

Some of the major complications regarding the outcome of the procedure are given below.

·       The failure of the procedure- In very rare cases, the procedure may fail to create any noticeable change in the condition. There will be very little symptomatic relief. In such patients, the procedure may have to be repeated or an open- heart surgery may be attempted.

·       Regurgitation of the valves- After the procedure, the flaps of the valves may fail to close properly. This will cause regurgitation or back flow of blood.

·       Restenosis of the valves – For certain people, the valves may get narrowed after some point of time. This condition called restenosis will require a repetition of the procedure or open-heart surgery for correction.  

 

Complications of balloon valvotomy are by far lesser than a valve replacement surgery. The success rate of the procedure is also quite high and especially so in the case of children.

 

In India, balloon valvotomy procedures costs much lesser than what it does in countries like the UK, or the USA. Patients travelling to India for the procedure will need to stay here for about a week or so, so they will need to factor in additional costs such travel fare, hotel stay, food and medications. However, all these costs factored in still makes it much cheaper to get a balloon valvotomy procedure done in India.

The cost of the surgery alone in India would be around 4,900 USD.