Balloon Pulmonary Valvuloplasty

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Procedure Description

Balloon Pulmonary Valvuloplasty is a specialized cardiac intervention procedure used to treat pulmonary valve stenosis, a condition where the pulmonary valve narrows, restricting blood flow from the right ventricle to the lungs. This narrowing can increase the heart’s workload, leading to symptoms like shortness of breath, fatigue, and chest pain. The condition may be congenital or acquired and varies in severity, with some patients needing medical intervention to improve blood flow and ease the heart’s strain. Balloon pulmonary valvuloplasty is generally recommended when the stenosis causes symptoms or poses a risk to heart function.

The procedure is performed by threading a catheter with an attached balloon through a blood vessel in the groin, leading it up to the heart and into the pulmonary valve. Once correctly positioned, the balloon is inflated, gently pushing open the valve leaflets and widening the narrowed valve. This allows blood to flow more freely from the heart’s right ventricle to the lungs, improving oxygenation and reducing the symptoms associated with pulmonary stenosis.

Considered minimally invasive, balloon pulmonary valvuloplasty has become a preferred alternative to open-heart surgery, particularly for younger patients or those with isolated pulmonary valve stenosis. Its less invasive nature typically means quicker recovery and fewer risks than traditional surgical approaches, making it a compelling choice for patients worldwide.

Procedure Duration

The length of a balloon pulmonary valvuloplasty procedure varies depending on individual patient factors, such as the severity of stenosis and the patient’s anatomy, but generally, the procedure takes between 1 to 2 hours. This time includes preparation, catheter insertion, balloon inflation, and any necessary post-procedural monitoring before the patient is moved to recovery. Once the balloon is inflated, it typically remains in place for a few minutes to ensure the valve’s leaflets are adequately separated, allowing blood flow to improve. After successful expansion, the balloon is deflated, and the catheter is carefully removed.

Post-procedure, patients are usually monitored in a recovery room for several hours to assess for any complications, such as bleeding at the catheter insertion site or arrhythmias. Vital signs, including blood pressure, heart rate, and oxygen levels, are closely monitored during this period. Most patients can expect to stay in the hospital for a day or two, depending on their condition and the success of the procedure.

Following discharge, patients will likely require a few days of rest to allow the catheter insertion site to heal fully and to reduce the risk of bleeding or infection. Generally, individuals experience a gradual improvement in symptoms as the heart adjusts to the improved blood flow. Follow-up appointments with the cardiologist will also be scheduled to monitor the heart’s response to the treatment and ensure that the procedure has provided the expected benefits.

Benefits

  • Minimally Invasive: As a catheter-based procedure, balloon pulmonary valvuloplasty typically involves less pain, reduced scarring, and quicker recovery compared to open-heart surgery.
  • Improved Blood Flow: The procedure increases blood flow from the heart to the lungs, improving oxygenation and reducing symptoms like breathlessness and fatigue.
  • Short Hospital Stay: Most patients require only a short hospital stay, often between 24 to 48 hours, facilitating faster return to normal activities.
  • Lower Risk of Complications: The procedure’s minimally invasive nature generally results in fewer complications compared to open surgical interventions.
  • Long-Term Relief: Balloon valvuloplasty offers significant symptom relief, allowing patients to engage in daily activities and improve their quality of life.

Potential Destinations

1. Singapore

Known for its state-of-the-art cardiac facilities and experienced medical professionals, Singapore is an excellent choice for patients seeking high-quality cardiac care. Medical tourists are drawn to its advanced technology, well-trained specialists, and renowned medical centers that frequently perform complex cardiac procedures.

2. Germany

Germany is celebrated for its top-tier healthcare system and exceptional standards in cardiology. With world-class facilities and highly trained specialists, Germany offers cutting-edge cardiac procedures, including balloon pulmonary valvuloplasty, with a strong emphasis on patient safety and clinical outcomes.

3. India

India has emerged as a popular destination for medical tourism, particularly in the field of cardiology. The country offers high-quality medical care at a fraction of the cost of Western nations, attracting patients looking for affordable and reliable cardiac interventions. India’s hospitals also maintain accreditation with rigorous standards, ensuring quality care.

4. Turkey

Turkey is a prime choice for those seeking affordable, high-quality cardiac care. The country is home to hospitals with advanced equipment and highly qualified staff. Many Turkish facilities are accredited internationally, providing peace of mind to patients traveling for procedures such as balloon pulmonary valvuloplasty.

5. Thailand

Thailand is well-known in the medical tourism industry for providing excellent care in modern, comfortable settings. Thai hospitals are equipped with the latest technology, and the country’s medical professionals are experienced in performing a range of cardiac procedures, making it a suitable choice for patients worldwide.

Risks & Considerations

  • Bleeding or Bruising at the Insertion Site: Since the procedure involves catheter insertion through the femoral vein, there is a risk of bleeding or bruising at the entry point, especially if the patient is on blood-thinning medications.
  • Arrhythmias (Irregular Heartbeat): During or after the procedure, patients may experience irregular heart rhythms, which may require monitoring or, in rare cases, treatment.
  • Infection: As with any procedure involving catheter insertion, there is a risk of infection, especially if post-procedure wound care isn’t carefully followed. This can include redness, swelling, or discharge at the catheter site.
  • Valve Re-stenosis: In some cases, the valve may narrow again over time, requiring additional intervention or follow-up treatment. Re-stenosis is generally less common but remains a consideration.
  • Allergic Reaction to Contrast Dye: Some patients may experience allergic reactions to the contrast dye used during the procedure, which can range from mild to severe and may require immediate medical attention.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for balloon pulmonary valvuloplasty, patients should look for accredited medical facilities with a strong track record in interventional cardiology. Verifying that the hospital has internationally recognized accreditation can provide assurance of the institution’s commitment to high standards of care. Additionally, patients may benefit from seeking a facility that specializes in minimally invasive cardiology procedures, as these centers are more likely to have specialized equipment and experience for successful outcomes.

Patients are advised to choose a cardiologist with extensive experience in balloon valvuloplasty, as a specialist’s skill and familiarity with the procedure can significantly impact results. Reviewing the credentials and certifications of the physician, and potentially seeking recommendations from patients who have undergone similar procedures, can also offer valuable insights. When traveling for the procedure, ensuring that the hospital offers comprehensive post-operative care and communication with home-based physicians can further enhance safety and peace of mind.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.

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Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.

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The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

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