Mitral Balloon (Valvuloplasty); Mitral stenosis; is a disease that gives symptoms in advanced stages due to the involvement of the heart valves by the childhood disease “Acute Rheumatic Fever”. Mitral stenosis is narrowing that makes the blood difficult to pass from one chamber of the heart to another. For this reason, blood accumulates in the lungs as fluid. And this causes the patient to feel dyspnea. Medical treatment is sufficient in mild stenosis however Mitral Valvuloplasty or open heart operation is performed in moderate and severe stenosis.
Mitral valvuloplasty is an interventional procedure performed by entering from inguinal with a catheter, switched to the left atrium from the right atrium of the heart by intervening veil pierced with a special needle sent through a sheath. The needle is removed from the sheath and guide wire advanced to left atrium. The movements of the wire are monitored in the screen. After the wire is placed to the correct place, the balloon is advanced on the wire and placed inside the narrowed valve. The balloon is inflated where the valve is narrow and by this the valve is enlarged as much as possible.
When performed in appropriate patients, the success rates of the mitral balloon treatment is as much as successful as in patients who have undergone successful heart surgery. Advantages of Mitral Valvuloplasty: The patient is conscious during the procedure since it is performed under local anesthesia. Right or left inguinal region is anesthetized and the balloon is advanced to heart through a small hole opened here. By this, the necessity of opening chest cage, stopping heart and usage of heart-lung machine are eliminated The patients are followed in service instead of intensive care unit after the procedure The patients can stand the next day Most of the patients can be discharged the next day In patients that the valve is opened with Mitral balloon and do not have arrhythmia, blood thinning medications are not required after the procedure.
Decline is recorded in the complaints of the 90% patients with balloon mitral valvuloplasty. This recovery can last up to 20 years; most of the patients experience relief for 5-10 years at least.