Balloon Mitral Valvotomy service image
Balloon Mitral Valvotomy

How do heart valves work? Blood passes through a valve before leaving each chamber of the heart. There are four valves within your heart. The heart valves make sure blood flows in only one direction through your heart. The mitral valve is located between the left upper and lower chambers of the heart. It has two leaflets that open and close similar to a double door. What is mitral stenosis? Stenosis means narrowing of an opening, such as a heart valve. Stenosis of the mitral valve limits the forward flow of blood from the left atrium to the left ventricle. This may cause a back-up of blood and fluid in the lungs. Mitral stenosis most commonly develops many years after a person has had rheumatic fever, although many patients diagnosed with mitral stenosis don’t recall ever having the illness. What are the symptoms? Many of the symptoms of mitral stenosis, such as shortness of breath and fatigue, result from a back-up of blood in the lungs. Other symptoms of mitral stenosis may include quick weight gain; weakness; dizziness; swelling in the ankles, feet and/or abdomen (edema); and/or heart palpitations (irregular heartbeat). What causes mitral stenosis? Mitral stenosis most commonly develops many years after a person has had rheumatic fever, although many patients diagnosed with mitral stenosis don’t recall ever having the illness. During rheumatic fever, the valve becomes inflamed. Over time, the leaflets of the inflamed valve stick together and become scarred, rigid and thickened, limiting its ability to open completely. How is mitral valve stenosis treated? Valve stenosis can sometimes be treated with medications if the symptoms are mild. When medications do not work to control symptoms, balloon valvotomy or surgical valve repair or replacement is performed. Balloon valvotomy successfully opens the narrowed valve and improves the overall function of the heart. If balloon valvotomy cannot be performed, surgical valve repair or replacement may be options. Valve repair may be performed to separate fused valve leaflets, sew torn leaflets or reshape parts of the valve.

Coronary Angiogram service image
Coronary Angiogram

A coronary angiogram is a diagnostic image, which uses dye and special X-rays to show the inside of your coronary (heart) arteries. These images are used to identify arterial narrowings that may be responsible for chest pain and future heart attacks. An angiography is the procedure, which uses special imaging techniques to produce coronary angiograms. To prepare for imagining, a very small tube (catheter) is inserted into a blood vessel in either the patient’s groin or arm. The tip of the tube is positioned at the beginning of the arteries supplying the heart, and a special fluid or dye is injected. This special fluid is visible by X-ray, which details the narrowing, occlusions, and other abnormalities of specific arteries. These images obtained are called angiograms. Why it's done? Your doctor may recommend that you have a coronary angiogram if you have: • Symptoms of coronary artery disease, such as chest pain (angina) • Pain in your chest, jaw, neck or arm that can’t be explained by other tests • New or increasing chest pain (unstable angina) • A heart defect you were born with (congenital heart disease) • Abnormal results on a noninvasive heart stress test • Other blood vessel problems or a chest injury • A heart valve problem that requires surgery What are risks? As with most procedures done on your heart and blood vessels, a coronary angiogram has some risks, such as radiation exposure from the X-rays used. Major complications are rare, though. Potential risks and complications include: • Heart attack • Stroke • Injury to the catheterized artery • Irregular heart rhythms (arrhythmias) • Allergic reactions to the dye or medications used during the procedure • Kidney damage

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