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A valvulotomy, valvotomy, [1] valvuloplasty, or valvoplasty is a procedure used in heart valve surgery that consists of making one or more incisions at the edges of the commissure formed between the two (mitral valve), or three tricuspid valve leaflets. This relieves the constriction of valvular stenosis (especially mitral valve stenosis).
Aortic valvuloplasty, also known as balloon aortic valvuloplasty (BAV), is a procedure used to improve blood flow through the aortic valve in conditions that cause aortic stenosis, or narrowing of the aortic valve. It can be performed in various patient populations including fetuses, newborns, children, adults, and pregnant women.
Mitral valve repair is mainly used to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve. [citation needed] A mitral balloon valvuloplasty enlarges the valve opening to allow greater oxygenated blood flow into the left ventricle, and since severe mitral regurgitation can be a major complication, degrees of stenosis, regurgitation, and valve anatomical features are taken ...
The term 'resection' is also used, especially when referring to a tumor.-opsy : looking at-oscopy : viewing of, normally with a scope-ostomy or -stomy : surgically creating a hole (a new "mouth" or "stoma", from the Greek στόμα (stóma), meaning "body", see List of -ostomies)-otomy or -tomy : surgical incision (see List of -otomies)
The treatment options for mitral stenosis include mitral valve replacement by surgery, and percutaneous mitral valvuloplasty by balloon catheter. [15] The indication for invasive treatment with either a mitral valve replacement or valvuloplasty is NYHA functional class III or IV symptoms. [citation needed] Another option is balloon dilatation. [16]
The traditional treatment of congenital aortic stenosis is balloon valvuloplasty or surgical commissurotomy. Both approaches will frequently not eliminate the narrowing of the valve; in addition, they will lead to a variable degree of aortic valve regurgitation which places an additional burden on the heart.
For patients with the most common type of mitral valve disease, termed "degenerative" or "myxomatous" mitral valve disease, repair rates are very high and long term durability is excellent. [4] There has been great debate about timing of surgery in patients with asymptomatic mitral valve regurgitation.
There are four procedures Aortic valve replacement; Mitral valve replacement; Tricuspid valve replacement; Pulmonary valve replacement; Current aortic valve replacement approaches include closed heart surgery, Very invasive cardiac surgery (VICS) and Very invasive, Scapulae-based aortic valve replacement.