Procedure

Duroziez's Disease Treatment- Cardiology

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Duroziez's disease was first introduced by Paul Louis Duroziez in 1877. It is widely known as a congenital variant of mitral stenosis.

In mitral stenosis, blood that courses through the narrow valve opening is decreased. Accordingly, the volume and pressure of blood in the left chamber of the heart increases, and there is an enlargement of the left chamber. The enlarged left chamber frequently beats quickly in an unpredictable manner. Subsequently, the heart's pumping function is diminished because the chamber is not pumping well.

Subsequently, blood does not course through the chamber quickly, and blood clots may form inside the chamber. If a clot breaks off, it may may obstruct a blood vessel, causing stroke or other harm.

In severe mitral stenosis, pressure may increase within the blood vessels of the lungs, bringing about heart failure.  

Why is Duroziez's disease treatment required?

Mild mitral stenosis does not cause symptoms. In the long run, the disease may progress and people may have shortness of breath or fatigue. People may also have  atrial fibrillation and palpitations. In this case, mitral stenosis may need to be treated.

Which doctor to consult?

Talk to a cardiologist or a cardiovascular surgeon, who will explain to you about the procedure, the risks and after-care.

What to expect during Duroziez's disease treatment?

If medical treatment does not diminish the symptoms effectively, the valve may be fixed or replaced.

Frequently, the valve can be extended through balloon valvotomy. In this procedure, a catheter with a balloon on the tip is strung through a vein and into the heart. Once over the valve, the balloon is inflated, isolating the valve cusps. Surgery may be done to isolate the intertwined cusps. If the valve is severely damaged, it may be supplanted with an artificial valve.

Post-operative care

After the procedure, you may be taken to the recovery room or to the hospital room. You will stay in bed for a few hours after the surgery. A nurse will monitor your vital signs and your symptoms.

You may spend the night in the hospital after your surgery. Depending on your condition and the aftereffects of your surgery, your stay may be longer. You will get take home instructions for your recovery.

You may not do any strenuous exercises. Your doctor will tell you when you can come back to work and resume usual activities.

Complications

Tell your doctor to report any of the following:  

  • Fever or chills
  • Pain, redness, swelling, or bleeding
  • Numbness and tingling
  • Chest pain
  • Nausea and vomiting

Talk to your doctor about the possible complications.

References

  • Mitral Stenosis - Heart and Blood Vessel Disorders - MSD Manual Consumer Version. (2019). Retrieved from https://www.msdmanuals.com/home/heart-and-blood-vessel-disorders/heart-valve-disorders/mitral-stenosis
  • After the procedure. (2019). Retrieved from https://stanfordhealthcare.org/medical-treatments/b/balloon-valvuloplasty/procedures/after-the-procedure.html
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