valvotomy

RK Heart Care > valvotomy
The human heart comprises four chambers or valves that play a crucial role in preventing the mixing of oxygenated and deoxygenated blood. However, these valves can constrict over time, leading to significant cardiac issues. Dr. Ravi Kiran, a seasoned cardiac surgeon, specializes in valvotomy surgery to address narrowed valves and restore proper heart function.

What Is A Valvotomy?

The heart valve comprises a tricuspid membrane with three flaps that open and close to facilitate blood flow. The free movement of these flaps becomes impeded when plaque accumulates on them, leading to a condition known as valve stenosis. Valvotomy, also referred to as commissurotomy, valvotomy, or valvuloplasty, is a medical procedure aimed at eliminating or breaking down this plaque to restore the normal functioning of the membrane.

When is a valvotomy needed?

Heart valve stenosis manifests in various discomforting symptoms such as chest pain, breathlessness, rapid heartbeats, heart murmur, weakness, or even fainting. In cases of severe symptoms, a medical professional might opt for decalcifying the valve flaps to restore normal heart function. While the conventional approach involves open-heart surgery, a less invasive alternative, known as balloon valvotomy, has emerged. This procedure minimizes the challenges associated with surgery and facilitates a smoother recovery for the patient.

How Is A Valvotomy Performed?

Following a 12-hour fasting period, if a balloon valvotomy is deemed appropriate for your condition, you will undergo the procedure. Prior to the surgery, you will receive sedation and anesthetic near the groin, similar to an angiogram. A catheter equipped with a micro balloon is carefully guided through a blood vessel to the valve flap. Once inside the valve, the balloon is inflated, breaking the plaque on the flaps and restoring their mobility. This inflation and deflation process may be repeated multiple times. After decalcification, the catheter is withdrawn, and you will need to stay overnight at the hospital. Assuming a successful recovery, you can return home the following day.

In cases where conditions are more severe, such as a loose or non-functional flap, open-heart surgery may be necessary. During this procedure, the surgeon manually removes the plaque, stitches any loose flaps, or introduces an artificial flap. This type of surgery carries more risks and requires a longer recovery period.

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