Valve dilation in the heart catheterization labVValve dilation in the heart catheterization labValve dilation in the heart catheterization labEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.8000000000000064.10000000000001038.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Valve dilation uses heart catheterization to open a narrowed valve in the heart. Read about valve dilation, possible complications and recovery.</p><h2>What is a heart valve?</h2><p>Heart valves are like gates that control the flow of blood between the upper and lower chambers of the heart, as well as the flow out of the heart.</p><p>There are four heart valves:</p><ul><li>the tricuspid valve, between the right atrium and the right ventricle</li><li>the mitral valve, between the left atrium and the left ventricle</li><li>the pulmonary valve, between the right ventricle and the pulmonary artery</li><li>the aortic valve, between the left ventricle and the aorta</li></ul><p>If the opening of a valve is too narrow, the heart cannot pump blood through it easily. A narrow valve is called stenotic.</p><h2>What is a valve dilation?</h2><p>A valve dilation is done to open a heart valve that is abnormally narrow. A valve dilation is also called a balloon valvotomy.</p><p>A valve dilation can be done on any heart valve. The procedure is done in the heart catheterization laboratory.</p> <figure class="asset-c-80"><span class="asset-image-title">Valve dilation</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Valve_dilation_MED_ILL_EN.png" alt="Heart with narrow valve and heart with catheter and balloon through blood vessel and valve" /> <figcaption class="asset-image-caption">A catheter with a deflated balloon on its tip is threaded through a blood vessel in the body up to the heart. When the balloon reaches the narrow valve it is inflated, which opens up the valve. The balloon is deflated and the catheter is removed.</figcaption> </figure> <h2>What is heart catheterization?</h2><p>During heart catheterization, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><p>To learn about heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p><h2>Key points</h2> <ul> <li>Valve dilation is a procedure to widen a narrowed heart valve. </li> <li>There is a small risk that your child will have complications from the procedure. Your child's doctor will explain the risks to you before the procedure. </li> <li>Your child will need to have an anaesthetic. Your child will probably need to stay overnight in the hospital after the procedure. </li> </ul><h2>What happens during the procedure</h2> <p>The procedure is performed while your child is under a general anaesthetic. This means that your child will be asleep during the procedure. </p> <p>During the catheterization, the doctor threads a special catheter through your child's blood vessels to the valve. The team takes X-ray pictures and measurements of the valve. Then the team threads a deflated balloon on the tip of the catheter to the narrowed valve. The balloon is then inflated to open up the narrowed valve. Sometimes a second larger balloon is used to dilate the area further. </p> <p>Then the balloon is deflated. The doctor takes out the balloon and catheter, and covers the cuts on your child's leg with a bandage. </p> <h2>The procedure will take two to four hours</h2> <p>The procedure usually takes two to four hours. After the procedure, your child will go to the recovery room to wake up from the anaesthetic. </p><h2>After the procedure</h2> <p>Your child will probably need to spend the night in hospital after the procedure. If your child needs to spend the night, they will be transferred to the inpatient unit from the recovery room. </p> <p>The cardiologist will let you know when your child can go home and when you should bring your child back for a check-up.</p> <p>For information on what to do after your child goes home, please see <a href="/Article?contentid=1214&language=English">Heart catheterization: Caring for your child after the procedure</a>.</p> <h3>Coming back for a check-up</h3> <p>Your child will be given a date and time to see their cardiologist after the procedure.</p> <p>Write the date and time of the appointment here:</p> <p> </p> <h3>Antibiotics to prevent infectious endocarditis</h3> <p>Depending on your child's specific heart condition, your child may need to take antibiotics before and after some dental and other procedures. These drugs help prevent a heart infection called infectious endocarditis. Speak to your cardiologist for more information. </p>
Dilatation d’une valve cardiaque dans le laboratoire de cathétérisme cardiaqueDDilatation d’une valve cardiaque dans le laboratoire de cathétérisme cardiaqueValve dilation in the heart catheterization labFrenchCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc8.0000000000000063.0000000000000757.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Pour dilater une valve cardiaque, on se sert du cathétérisme cardiaque pour ouvrir une valve sténosée dans le cœur.</p><h2>Qu'est-ce qu'une valve cardiaque?</h2><p>Les valves cardiaques sont comme des portes qui contrôlent la circulation du sang entre les cavités supérieures et inférieures du cœur, ainsi que la circulation à l'extérieur du cœur. </p><p>Il y a quatre valves :</p><ul><li>la valve tricuspide, située entre l'oreillette droite et le ventricule droit; </li><li>la valve mitrale, située entre l'oreillette gauche et le ventricule gauche; </li><li>la valve pulmonaire, située entre le ventricule droit et l'artère pulmonaire; </li><li>la valve aortique, située entre le ventricule gauche et l'aorte. </li></ul><p>Si l'ouverture d'une valve est trop mince, le cœur ne peut pas pomper de sang aisément. Une valve rétrécie est appelée valve sténosée.</p><h2>Qu'est-ce que la dilatation d'une valve?</h2><p>On effectue une dilatation pour ouvrir une valve cardiaque anormalement rétrécie. Une dilatation est aussi appelée valvotomie par ballonnet. </p><p>Une dilatation peut se faire sur n'importe laquelle des valves cardiaques. L'intervention se fait dans le laboratoire de cathétérisme cardiaque.</p> <figure class="asset-c-80"> <span class="asset-image-title">Dilatation valvulaire</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Valve_dilation_MED_ILL_FR.png" alt="Cœur avec une valve étroite et cœur avec un cathéter et un ballonnet dans un vaisseau sanguin et dans une valve" /> <figcaption class="asset-image-caption">On insère un cathéter muni d'un ballon dégonflé dans un vaisseau sanguin, et ce, jusqu'à ce qu'on atteigne le cœur. Lorsque le ballon atteint l'espace étroit, on le gonfle, ce qui permet d'ouvrir la valve. On dégonfle le ballon et on retire le cathéter.On insère un cathéter muni d'un ballon dégonflé dans un vaisseau sanguin, et ce, jusqu'à ce qu'on atteigne le cœur. Lorsque le ballon atteint l'espace étroit, on le gonfle, ce qui permet d'ouvrir la valve. On dégonfle le ballon et on retire le cathéter. </figcaption> </figure> <h2>Qu'est-ce que le cathétérisme du cœur?</h2><p>Pendant l'intervention, le médecin place délicatement un long tube mince appelé cathéter dans une veine ou une artère du cou ou de l'aine de votre enfant. L'aine est la région en haut de la jambe. Par la suite, le cathéter est acheminé par la veine ou l'artère jusqu'au cœur de votre enfant. </p><p>Le médecin qui fait l'intervention est un cardiologue, c'est-à-dire un médecin qui se spécialise dans le cœur et les vaisseaux sanguins. Il pourrait ne pas être le cardiologue habituel de votre enfant. Pour des renseignements sur le cathétérisme du cœur, veuillez consulter « <a href="/Article?contentid=59&language=French">Cathétérisme cardiaque : se préparer à l'intervention</a> ».</p><h2>À retenir</h2> <ul> <li>La dilatation d'une valve est une intervention qui consiste à élargir une valve cardiaque rétrécie. </li> <li>Il y a un faible risque que votre enfant ait des complications après l'intervention. Le médecin de votre enfant vous expliquera ces risques avant l'intervention. </li> <li>Votre enfant devra recevoir un anesthésique et devra probablement passer la nuit à l'hôpital après une intervention. </li></ul><h2>Ce qui se passe pendant l'intervention </h2> <p>On donnera un médicament à votre enfant pour l'endormir, appelé anesthésie générale. Cela fera dormir votre enfant tout au long de l'opération. </p> <p>Pendant le cathétérisme, le médecin insère un cathéter avec un petit ballonnet dégonflé au bout dans les vaisseaux sanguins de votre enfant jusqu'à la valve. L'équipe prend des radiographies et mesure la valve. Par la suite, l'équipe place un ballonnet dégonflé sur le cathéter et l'envoie vers la valve sténosée. Le ballonnet est ensuite gonflé pour ouvrir la valve. Parfois, un deuxième ballon plus grand est utilisé pour dilater la valve davantage. </p> <p>Le médecin retire ensuite le ballonnet et le cathéter, et recouvre les incisions sur les jambes de votre enfant d'un pansement. </p> <h2>L'intervention prend habituellement de deux à quatre heures</h2> <p>L'intervention prend habituellement deux à quatre heures. Après l'intervention, votre enfant se rendra à la salle de réveil, où il restera pendant deux heures pour se réveiller de l'anesthésique. </p><h2>Après l'intervention</h2> <p>Votre enfant devra probablement passer la nuit à l'hôpital après l'intervention. Si c'est le cas de votre enfant, il sera transféré de la salle de réveil à l'unité de soins. </p> <p>Le cardiologue vous dira quand votre enfant peut retourner à la maison et quand vous devriez revenir pour un rendez-­vous de suivi. Pour en savoir davantage sur ce qu'il faut faire quand votre enfant retourne à la maison, consulter « <a href="/Article?contentid=1214&language=French">Cathétérisme du cœur : soins après l'intervention</a> ». </p> <h3>Rendez-vous de suivi</h3> <p>Votre enfant verra le cardiologue après l'intervention à une date et une heure fixées à l'avance.</p> <p>Écrire la date et l'heure du rendez-vous ici :</p> <p> </p> <h3>Antibiotiques pour prévenir l'endocardite infectieuse</h3> <p>En fonction du type de maladie cardiaque dont souffr votre enfant, il pourrait devoir prendre des antibiotiques avant et après les interventions dentaires ou autres. Ces médicaments aident à prévenir une infection du cœur appelée endocardite infectieuse. Consultez votre cardiologue pour en savoir davantage. </p>

 

 

 

 

Valve dilation in the heart catheterization lab1022.00000000000Valve dilation in the heart catheterization labValve dilation in the heart catheterization labVEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.8000000000000064.10000000000001038.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Valve dilation uses heart catheterization to open a narrowed valve in the heart. Read about valve dilation, possible complications and recovery.</p><h2>What is a heart valve?</h2><p>Heart valves are like gates that control the flow of blood between the upper and lower chambers of the heart, as well as the flow out of the heart.</p><p>There are four heart valves:</p><ul><li>the tricuspid valve, between the right atrium and the right ventricle</li><li>the mitral valve, between the left atrium and the left ventricle</li><li>the pulmonary valve, between the right ventricle and the pulmonary artery</li><li>the aortic valve, between the left ventricle and the aorta</li></ul><p>If the opening of a valve is too narrow, the heart cannot pump blood through it easily. A narrow valve is called stenotic.</p><h2>What is a valve dilation?</h2><p>A valve dilation is done to open a heart valve that is abnormally narrow. A valve dilation is also called a balloon valvotomy.</p><p>A valve dilation can be done on any heart valve. The procedure is done in the heart catheterization laboratory.</p> <figure class="asset-c-80"><span class="asset-image-title">Valve dilation</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Valve_dilation_MED_ILL_EN.png" alt="Heart with narrow valve and heart with catheter and balloon through blood vessel and valve" /> <figcaption class="asset-image-caption">A catheter with a deflated balloon on its tip is threaded through a blood vessel in the body up to the heart. When the balloon reaches the narrow valve it is inflated, which opens up the valve. The balloon is deflated and the catheter is removed.</figcaption> </figure> <h2>What is heart catheterization?</h2><p>During heart catheterization, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><p>To learn about heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p><h2>Key points</h2> <ul> <li>Valve dilation is a procedure to widen a narrowed heart valve. </li> <li>There is a small risk that your child will have complications from the procedure. Your child's doctor will explain the risks to you before the procedure. </li> <li>Your child will need to have an anaesthetic. Your child will probably need to stay overnight in the hospital after the procedure. </li> </ul><h2>What happens during the procedure</h2> <p>The procedure is performed while your child is under a general anaesthetic. This means that your child will be asleep during the procedure. </p> <p>During the catheterization, the doctor threads a special catheter through your child's blood vessels to the valve. The team takes X-ray pictures and measurements of the valve. Then the team threads a deflated balloon on the tip of the catheter to the narrowed valve. The balloon is then inflated to open up the narrowed valve. Sometimes a second larger balloon is used to dilate the area further. </p> <p>Then the balloon is deflated. The doctor takes out the balloon and catheter, and covers the cuts on your child's leg with a bandage. </p> <h2>The procedure will take two to four hours</h2> <p>The procedure usually takes two to four hours. After the procedure, your child will go to the recovery room to wake up from the anaesthetic. </p><h2>After the procedure</h2> <p>Your child will probably need to spend the night in hospital after the procedure. If your child needs to spend the night, they will be transferred to the inpatient unit from the recovery room. </p> <p>The cardiologist will let you know when your child can go home and when you should bring your child back for a check-up.</p> <p>For information on what to do after your child goes home, please see <a href="/Article?contentid=1214&language=English">Heart catheterization: Caring for your child after the procedure</a>.</p> <h3>Coming back for a check-up</h3> <p>Your child will be given a date and time to see their cardiologist after the procedure.</p> <p>Write the date and time of the appointment here:</p> <p> </p> <h3>Antibiotics to prevent infectious endocarditis</h3> <p>Depending on your child's specific heart condition, your child may need to take antibiotics before and after some dental and other procedures. These drugs help prevent a heart infection called infectious endocarditis. Speak to your cardiologist for more information. </p><h2>There are small risks of complications from the procedure</h2> <p>Generally, cardiac catheterization is a fairly low-risk procedure, but it is not risk-free. The doctor will explain the risks of cardiac catheterization to you in more detail before you give your consent for the procedure. The most common risks are: </p> <h3>The catheter may break through a blood vessel</h3> <p>There is a very small risk that the catheter may break through a blood vessel or the heart wall. To reduce this risk, we use a type of X-ray called fluoroscopy to see where the catheters are at all times. </p> <p>More common complications occur with dilations of the pulmonary and aortic valves.</p> <h3>Complications from pulmonary valve dilations</h3> <p>The pulmonary valve controls the flow of blood from the heart to the pulmonary artery, which carries blood to the lungs. This valve often becomes leaky after a valve dilation. This condition is called valve incompetence. It is usually mild and can occur after surgical valvotomy as well. </p> <p>Some valves do not improve enough with a valve dilation and may need surgery.</p> <h3>Complications from aortic valve dilations</h3> <p>The aortic valve controls the flow of blood from the heart to the aorta, which carries blood to the body. When this valve is too narrow, the pressure in the heart is too high and the heart has to work too hard to pump blood. However, if the valve is expanded to get rid of all the narrowing, it will probably leak. 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. </p> <p>The doctor chooses a balloon that is small enough that it will not get rid of all the narrowing. Then surgery can be avoided. In 2% to 3% 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. </p> <p>For general information about the risks of heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p>https://assets.aboutkidshealth.ca/akhassets/Valve_dilation_MED_ILL_EN.pngValve dilation in the heart catheterization labFalse