Balloon Valvuloplasty

Most people are born with four heart valves.  Hoever, some children with congenital heart defects may be born with less functioning valves.  Sometimes valves are too narrow or stenotic. A valvuloplasty is a procedure that open a heart valve that is blocked or too narrow. It can also va called valve dilatation or valvotomy.  A balloon valvuloplasty uses a balloon on the end of the catheter to perform the valvuloplasty.

The board-certified and fellowship-trained pediatric heart specialists at Norton Children’s Heart Institute may recommend a balloon valvuloplasty if your child’s heart valve does not allow blood to flow freely through the valve.

The procedure takes place in the pediatric catheterization lab. Your child will be sedated (asleep) with medicine given by a specially trained pediatric cardiac anesthesiologist at Norton Children’s Hospital.

Your child’s doctor will insert a special catheter — a long, thin tube — into a blood vessel, usually in the leg. Your child will have a small incision  where the catheter is inserted.

The doctor threads the catheter through blood vessels until it reaches the heart valve. Once it’s in the precise location, the physician inflates a tiny balloon on the end of the catheter. The balloon widens the narrowed opening in the valve. Sometimes a second, larger balloon will be used to open it more. The doctor then deflates the balloon and removes it and the catheter.

Norton Children’s Heart Institute, affiliated with the University of Louisville, is the leading provider of pediatric heart care in Louisville and Southern Indiana.

The Society of Thoracic Surgeons has ranked Norton Children’s Heart Institute’s pediatric heart care among the best in the region. Norton Children’s has a network of outreach diagnostic and treatment services conveniently located throughout Kentucky and Southern Indiana.

Pulmonary valve dilations

Many pulmonary valves that are candidates for a valvuloplasty are narrow because parts of the valve are stuck together. This type of valve stenosis responds well to being gently opened with a balloon.

Some valves, such as those that are thickened, shortened or notched, do not improve enough with the balloon procedure. For those, surgery may be needed.Interventional cardiologissts often will try the less-invasive balloon valvuloplasty before considering open heart surgery.

Sometimes the pulmonary valve becomes leaky after a procedure to widen it.

This condition, called valve incompetence, usually is mild. It can occur after both a balloon valvuloplasty or a more invasive surgical valvuloplasty.

Aortic valve dilations

The aortic valve separates blood flow from the heart’s left ventricle to the aorta.. When it is too narrow, or stenotic, the heart has to work harder to pass blood through the valve.  A narrow aortic valve can lead to increased pressure in the heart and heart failure.

The goal of aortic valve dilation is to make the narrowing just wide enough to reduce the pressure in the heart to safe levels, without causing a significant leak in the valve, which can be a complication from any valvuloplasty.

The interventional cardiologist tries to choose a balloon that is small enough to almost get rid of all the narrowing.  Then, surgery can be avoided. In about 2 percent or 3 percent of cases, the valve becomes very leaky, even when the right-sized balloon is used. If this happens, your child may need surgery to repair the valve.

Try to avoid taking text directly from Google too:

“This valve often becomes leaky after a valve dilation. This condition is called valve incompetence. … Some valves do not improve enough with a valve dilation and may need surgery.”

Why choose Norton Children’s Heart Institute

No other congenital heart surgery program in Kentucky, Ohio or Southern Indiana is ranked higher by the Society of Thoracic Surgeons than the Norton Children’s Pediatric Cardiothoracic Surgery Program.

  • Norton Children’s Hospital has been a pioneer in pediatric cardiothoracic surgery, performing Kentucky’s first pediatric heart transplant in 1986 and becoming the second site in the United States to perform an infant heart transplant.
  • Our board-certified and fellowship-trained pediatric cardiovascular surgeons are leaders in the field as clinicians and researchers.
  • More than 5,000 children a year visit Norton Children’s Heart Institute, affiliated with the University of Louisville, for advanced heart care.
  • Norton Children’s Heart Institute successfully performs more than 17,500 procedures a year.
  • The Society of Thoracic Surgeons ranked Norton Children’s Heart Institute among the best in the region after studying years of our patients’ outcomes and our ability to handle a range of pediatric heart conditions, including the most severe.
  • Norton Children’s Heart Institute has satellite outpatient centers in Bowling Green, Frankfort, Owensboro and Paducah; 28 tele-echocardiography locations in Kentucky and Southern Indiana; and six fetal echocardiography locations across Kentucky.
  • The American Board of Thoracic Surgery has certified the cardiothoracic surgeons at Norton Children’s Hospital with subspecialty certification in congenital heart surgery.
  • The Jennifer Lawrence Cardiac Intensive Care Unit is under construction to give our patients the most advanced cardiac intensive care unit available.
  • Our multidisciplinary approach to pediatric heart surgery brings together our specialists in cardiothoracic surgery, cardiology, anesthesiology, cardiac critical care and other areas to create a complete care plan tailored for your child.

 

Heart – 2929

Norton Children’s Heart Institute

Call for an appointment

(502) 629-2929

New parents: What to do about health insurance for kids

Some of the most frequently asked questions pediatricians hear from new parents are about health insurance. Below are some tips to help you establish insurance while making sure your baby’s medical needs are met in […]

Read Full Story

Norton Children’s is giving away tickets to Festival of Trees & Lights

Start a holiday tradition with your family at the 30th annual Festival of Trees & Lights, Nov. 15 to 17. Marvel at the hundreds of beautifully decorated trees, wreaths and décor items — all of […]

Read Full Story

3 ways to lock down your medications

Nearly 8,000 calls came into the Kentucky Poison Control Center of Norton Children’s Hospital in 2018 as a result of concerns about children under 5 ingesting medication. Calls involve kids getting access to medication they […]

Read Full Story

Baby elephant’s name to be unveiled by toddler with a new heart

In Eli Alexander’s 23 months of life, he has overcome a congenital heart defect with the help of a heart transplant. His family has taken to comparing his strength and bravery to an elephant’s. It […]

Read Full Story

Courageous Clay gets his heart transplant follow-up visits closer to home in Bowling Green

Nicole Pendino has a courageous son. In fact, his nickname is “Courageous Clay.” Many members of his hometown community in Bowling Green, Kentucky, have rallied around him over the past 12 years. In 2017 when […]

Read Full Story

Search our entire site.