How the Procedure Works

Preparation and Anesthesia

• Pre-procedural Evaluation: Patients undergo a series of pre-operative tests to assess heart function and general health.

• Local Anesthesia: BAV is typically performed under local anesthesia, ensuring patient comfort while avoiding the risks associated with general anesthesia.

• Cannula Insertion: A small cannula is first inserted into a peripheral vein to administer fluids and medications as needed.

Catheter-Based Intervention

• Groin Artery Puncture: An artery in the groin is carefully punctured using a catheter—a thin, flexible tube—to establish access to the heart.

• Contrast Dye Injection: A specialized dye is injected to enhance the visibility of the aortic valve on X-rays, enabling precise localization of the stenotic area.

• Balloon Inflation: A catheter fitted with a balloon is advanced to the aortic valve under fluoroscopic (live X-ray) guidance. The balloon is then inflated multiple times, helping to gently widen the valve to improve blood flow from the heart.

Additional Intra-procedural Details

• Pacing Wire Placement: To stabilize the heart’s rhythm and optimize the conditions for the valvuloplasty, a pacing wire is introduced via a venous sheath, temporarily increasing the heart rate during the procedure.

• Monitoring and Support: Electrodes attached to the chest continuously record the heart’s activity. A cardiac monitor and the oversight of a dedicated physiologist ensure that all vital parameters are carefully observed.

Post-Procedure Care

• Sheath Removal and Incision Closure: Following the completion of balloon inflation, the catheter, pacing wire, and balloon are withdrawn. An angioseal is then applied to the puncture site in the groin; this sealing device helps to close the minor incision and is absorbed by the body within approximately ninety days.

• Observation Period: Patients are typically required to arrive on the day of surgery and stay overnight for careful monitoring during the initial recovery phase.

 

Benefits and Considerations

Clinical Benefits

• Improved Heart Function: By expanding the narrowed aortic valve, BAV can enhance cardiac output and reduce the workload on the heart.

• Symptom Relief: Patients often experience a noticeable reduction in symptoms such as breathlessness and fatigue, leading to an improved quality of life.

• Complementary Role: The procedure is beneficial as a bridging therapy for patients awaiting definitive surgical intervention or as an adjunct for TAVI procedures.

Potential Risks and Side Effects

• Minor Side Effects: Some patients may experience transient side effects like headache, flushing, or a metallic taste immediately following the procedure.

• Procedure-Related Discomfort: The inflation of the balloon can occasionally lead to temporary lightheadedness or discomfort.

• Individual Considerations: As with any medical procedure, there are inherent risks, and a detailed discussion with your cardiovascular specialist is essential to determine the suitability of BAV for your specific condition.

 

Cost Considerations in India

The overall cost of BAV in India tends to be lower compared to many Western healthcare systems. However, the final expense can vary depending on multiple factors:

• Hospital Charges: The cost of facility use, nursing care, and post-operative monitoring.

• Surgeon and Anesthesia Fees: Professional fees may differ based on the expertise involved.

• Pre-Operative Testing: Expenses related to diagnostic evaluations and imaging studies.

• Post-Operative Care: Charges associated with hospitalization, medications, and potential management of any complications.

Patients are encouraged to discuss all cost-related details and payment options during their consultation to ensure full transparency and financial preparedness.

 

Personalized Care and Consultation

At Mahadev Heart Care, we believe that every patient deserves a tailored treatment plan. To discuss the potential risks, benefits, and financial considerations associated with Balloon Aortic Valvuloplasty, we invite you to consult with our expert team. For specialized guidance, patients are also encouraged to seek personalized consultations with Dr. Samin, who is known for providing clear, patient-centered advice that supports informed decision-making.

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Balloon Aortic Valvuloplasty is a valuable procedure for improving heart function and alleviating symptoms caused by aortic stenosis. Its minimally invasive nature, combined with lower costs in India, makes it an attractive option for many patients. We at Mahadev Heart Care are committed to ensuring that you receive comprehensive care—from diagnosis and the procedure itself to post-operative recovery—customized to your unique needs.

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For a detailed discussion about your condition or if you have any questions regarding BAV, please contact our team at Mahadev Heart Care, Bangalore.