- Procedure Time
- How Long
How long does a mitral valvuloplasty take to perform?
A mitral balloon valvuloplasty -- a procedure to improve the function of the heart's mitral valve -- takes about an hour. The procedure requires a few hours for preparation before, and recovery after the procedure. The patient will undergo several blood and imaging tests on the day before and the day of the procedure. The patient is likely to require a day of hospitalization.
How is a mitral valvuloplasty performed?
A cardiologist usually performs a mitral valvuloplasty in a heart catheterization lab. It is a non-surgical procedure performed using local anesthesia and mild sedation.
In preparation for the procedure the patient may be required to
- Avoid eating or drinking for eight hours prior
- Check before taking any regular medications
- Inform the doctor
- of any allergies
- if there is a pacemaker implant
- if pregnant
- Empty the bladder and bowel
- Undergo blood tests that include coagulation parameters
- Undergo imaging tests just before or during the procedure, which may include
- Doppler echocardiography
- Transesophageal echocardiography
- Transthoracic echocardiogram
- Intracardiac echocardiography
- Coronary arteriography that involves injecting a dye through a catheter into the coronary arteries to obtain images
- Administers painkillers and mild sedation through an IV line.
- Connects the patient to the electrocardiogram to monitor the heart’s electrical impulse.
- Monitors the patient’s vital functions such as
- heart rate,
- blood pressure, and
- oxygen levels.
- May intubate some patients to provide oxygen.
- The cardiologist
- Injects local anesthetic to numb the catheter insertion site in the groin.
- Makes a tiny incision in the skin, punctures the femoral vein and inserts the catheter.
- Advances the catheter gently through the vein up till it goes into the right atrium of the heart, with the guidance of ultrasoundcan images.
- Injects a dye to scan the heart and the coronary blood vessels through continuous X-ray (fluoroscopy) images.
- Inserts the catheter into the left atrium through a tiny hole made in the atrial wall (septum).
- Inserts the catheter into the mitral valve, and inflates and deflates the balloon several times to widen the valve opening.
- Withdraws the catheter back through the vein and out of the puncture site.
- Stops bleeding at the insertion site and applies a bandage.
- Is monitored for a few hours in the recovery room.
- Will be able to resume most normal activities within a day or two.
- Must avoid strenuous activities and heavy lifting.
- Will be required to undergo follow-up tests.
- May have to make permanent changes in diet and lifestyle.
How long does a mitral valvuloplasty last?
The effects of a mitral valvuloplasty may last a minimum of about two years. The procedure offers immediate relief from symptoms and improves blood flow, but is not a cure for mitral valve disease, which must be managed with regular checkups, medication and good lifestyle practices.
In otherwise healthy patients, mitral valvuloplasty may postpone mitral valve surgery for up to 10 years. For younger patients in good physical condition, mitral valvuloplasty has better long-term results.
What are the risks and complications of a mitral valvuloplasty?
Mitral valvuloplasty is generally a safe and effective treatment for mitral valve stenosis, especially in patients whose valve is not calcified and who have no other coexisting conditions.
The complications of mitral valvuloplasty include
- Mitral regurgitation
- Injury to the mitral valve leaflets
- Lacerations in the blood vessel and hemorrhage
- Stroke due to blood clot
- Perforation of the heart
- Bleeding in the sheath covering the heart (pericardium)
- Atrial septal defect due to the puncture hole in the septum not closing within a few weeks as it normally should
- Recurrence of stenosis
IMAGESBrowse through our medical image collection to see illustrations of human anatomy and physiology See Images
Health Solutions From Our Sponsors
Top How Long Does a Mitral Valvuloplasty Last Related Articles
Aortic Valve Stenosis (Symptoms, Causes, Surgery)Aortic valve stenosis is an abnormal narrowing of the aortic valve of the heart. The causes of aortic stenosis are wear and tear of the valve in the elderly, congenital, or scarring or scarring of the aortic valve from rheumatic fever. Symptoms include angina, fainting, and shortness of breath. Treatment is dependant upon the severity of the condition.
Cholesterol Drugs SlidesWhen diet and exercise aren't enough, should you turn to drugs? Learn cholesterol basics, drug classes, and available drugs along with their benefits and side effects.
Coronary Heart Disease Screening Tests (CAD)
Coronary heart disease or coronary heart disease (CAD) screening tests can be used to potentially prevent a heart attack or cardiac event in a person without heart disease symptoms, and can assist in diagnosing heart disease in individuals with heart disease symptoms. Examples of coronary heart disease tests include:
- electrocardiogram (ECC, EKG),
- exercise stress test,
- radionuclide stress test,
- stress echocardiography,
- pharmacologic stress test,
- CT coronary angiogram, and
- coronary angiogram.
Heart CT ScanEBCT (also referred to as a calcium-score screening heart scan). This test is used to detect calcium deposits found in atherosclerotic plaque in the coronary arteries of heart disease patients. The more coronary calcium means more coronary atherosclerosis, which can raise the risk of future cardiovascular problems.
CAD SlideshowWhat is heart disease (coronary artery disease)? Learn about the causes of heart disease, arrhythmias and myopathy. Symptoms of heart disease include chest pain and shortness of breath. Explore heart disease diagnosis, treatment, and prevention.
Heart Disease SlideshowHeart disease prevention includes controlling risk factors like diet, exercise, and stress. Heart disease symptoms in women may differ from men. Use a heart disease risk calculator to determine your heart attack risk.
Heart Disease QuizTake our Heart Disease Quiz to get answers and facts about high cholesterol, atherosclerosis prevention, and the causes, symptoms, treatments, testing, and procedures for medically broken hearts.
Heart Failure QuizWhat is heart failure? Learn about this dangerous condition, as well as who is at risk, and what to do about it.
Am I Having a Heart Attack? Symptoms of Heart DiseaseHeart attacks symptoms vary greatly for men and women, from anxiety and fatigue to nausea and sweating. Learn the warning signs of a heart attack and know the symptoms that may require an immediate trip to the hospital.
Heart Lead ExtractionThe heart disease lead extraction procedure is needed when your leads are not working properly. This can be caused by: damage to the inside (called a fracture) or outside of the lead,large amounts of scar tissue form at the tip of the lead, causing it to need more energy to function than your pacemaker or ICD can deliver. This condition is known as "exit block," infection at the site of the device and lead implant.
Illustrations of the HeartThe muscle that pumps blood received from veins into arteries throughout the body. See a picture of the Heart and learn more about the health topic.
What Is a Heart Transplant?Heart transplant consists of three operations: 1) harvesting the heart from the donor, 2) removing the recipient's damaged heart, and 3) the implantation of the donor heart. The selection and distribution of donor hearts is a careful process so that the hearts are distributed fairly. For the patient requiring a heart transplant, all other important organs in the body must be in good shape. The most common complication of heart transplant is organ rejection.
Heart Valve DiseaseHeart valve disease occurs when the heart valves do not work the way they should. Symptoms of valve disease include shortness of breath, weakness or dizziness, discomfort in your chest, palpitations, swelling of your ankles, feet or abdomen, and rapid weight gain.
Heart Valve Disease SurgeryHeart valves that are diseased can be treated both surgically (traditional heart valve surgery) and non-surgically (balloon valvuoplasty). The mitral valve is the most commonly repaired heart valve, but the aortic, pulmonic, and tricuspid valves may also undergo some of these repair techniques.
Mitral Valve Prolapse
Mitral valve prolapse (MVP), also called "click murmur syndrome" and "Barlow's syndrome," is the most common type of heart valve abnormality. Usually, people with mitral valve prolapse have no signs and symptoms; however, if the prolapsed valve is severe, symptoms may appear. When symptoms of severe mitral valve prolapse do appear, they may include, fatigue, palpitations, chest pain, anxiety, migraine headaches, and pulmonary edema. Echocardiography is the most useful test for mitral valve prolapse. Most people with mitral valve need no treatment. However, if the valve prolapse is severe, treatment medications or surgery may be necessary to repair the heart valve.
What Is a Percutaneous Valve Replacement Procedure?A percutaneous valve replacement is a minimally invasive procedure to replace a diseased heart valve. The malfunctioning valve is removed and replaced with a manufactured valve, which may be mechanical or made of human or animal tissue.
What Are The Four Heart Sounds?Heart sounds are generated by blood flowing in and out of the heart’s chambers through the valves as they open and close. Listening to the heart sounds through a stethoscope (auscultation) is one of the first steps a physician takes in evaluating a patient’s medical condition. Heart sounds provide the doctor valuable information about heart function. Auscultation is used to detect abnormal heart sounds and decide on further course of action.